Individual
DALJEET SINGH SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 CRAIN HWY SW, GLEN BURNIE, MD 21061-3530
(410) 787-8332
(410) 787-8722
Mailing address
208 CRAIN HWY SW, GLEN BURNIE, MD 21061-3530
(410) 787-8332
(410) 787-8722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0038958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092531400
—
MD
Enumeration date
06/07/2006
Last updated
07/06/2012
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