Organization
JOHN KIJAK JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PHELPS HANAN (OFFICE MANAGER)
(301) 253-4004
Entity
Organization
Contact information
Practice address
9815 MAIN ST, SUITE 41, DAMASCUS, MD 20872-2002
(301) 253-4004
(301) 253-3391
Mailing address
9815 MAIN ST, SUITE 41, DAMASCUS, MD 20872-2002
(301) 253-4004
(301) 253-3391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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