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
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