Organization
MIRZA M. NUSAIREE, MD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA M. NUSAIREE MD (PRESIDENT)
(410) 766-4747
Entity
Organization
Contact information
Practice address
1401 MADISON PARK DR, SUITE 100, GLEN BURNIE, MD 21061-5881
(410) 766-4747
(410) 766-4855
Mailing address
1401 MADISON PARK DR, SUITE 100, GLEN BURNIE, MD 21061-5881
(410) 766-4747
(410) 766-4855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0040519
MD
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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