Individual
MUSTAFA AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3300
Mailing address
2 HARNESS CT APT 203, PIKESVILLE, MD 21208-6720
(301) 335-2586
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R210415
MD
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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