Organization
COMMUNITY SURGICAL PRACTICE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN BAHMANYAR MD (PRESIDENT)
(301) 345-6222
Entity
Organization
Contact information
Practice address
7311 HANOVER PKWY STE B, GREENBELT, MD 20770-2033
(301) 345-6222
(301) 345-4130
Mailing address
7600 ORA GLEN DR, P O BOX 254, GREENBELT, MD 20768-7607
(301) 345-4130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28759
MD
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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