Organization
ALLERGY, ASTHMA AND IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHABNAM FOROUGHI M.D. (CHIEF EXECUTIVE OFFICER)
(301) 315-1500
Entity
Organization
Contact information
Practice address
10110 MOLECULAR DR, SUITE 209, ROCKVILLE, MD 20850-7539
(301) 315-1500
(301) 315-2545
Mailing address
10110 MOLECULAR DR, SUITE 209, ROCKVILLE, MD 20850-7539
(301) 315-1500
(301) 315-2545
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D006571
MD
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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