Organization
CENTER FOR ALLERGIC DISEASES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMPSON B SARPONG MD (CEO)
(301) 931-0092
Entity
Organization
Contact information
Practice address
10756 RHODE ISLAND AVE, BELTSVILLE, MD 20705-2513
(301) 931-0092
(301) 595-0359
Mailing address
10756 RHODE ISLAND AVE, BELTSVILLE, MD 20705-2513
(301) 931-0092
(301) 595-0359
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0039249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068951300
—
MD
Enumeration date
10/29/2007
Last updated
10/29/2007
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