Organization
SUBURBAN ORTHOPAEDIC,TOTAL JOINT AND SPORTS CLINIC,P.C.
Active
Organization
SUBURBAN ORTHOPAEDIC,TOTAL JOINT AND SPORTS CLINIC,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR NAGUIB AZER MD (PRESIDENT)
(301) 292-7447
Entity
Organization
Contact information
Practice address
11701 LIVINGSTON RD, SUITE 105, FORT WASHINGTON, MD 20744-5104
(301) 292-7447
(301) 292-3278
Mailing address
11701 LIVINGSTON RD, SUITE 105, FORT WASHINGTON, MD 20744-5104
(301) 292-7447
(301) 292-3278
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0022051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782111500
—
MD
Enumeration date
03/26/2007
Last updated
04/03/2009
Update your record
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