Organization
ADVANCED PULMONARY AND SLEEP ASSOCIATES OF FREDERICK, LLC
Active
Organization
ADVANCED PULMONARY AND SLEEP ASSOCIATES OF FREDERICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDUSAR IKRAM RAZA MD (PRESIDENT)
(240) 405-7347
Entity
Organization
Contact information
Practice address
801 TOLL HOUSE AVE STE D2, FREDERICK, MD 21701-6112
(240) 405-7347
Mailing address
9114 HENDRY TER, FREDERICK, MD 21704-7814
(240) 405-7347
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/26/2009
Last updated
09/01/2009
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