Individual
MR. BILAL TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12711 MILAN WAY, BOWIE, MD 20715-1611
(301) 805-2740
Mailing address
14800 4TH ST APT 42D, LAUREL, MD 20707-3712
(718) 496-2473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01943L
MD
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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