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Organization

SPRINGFIELD INFECTIOUS DISEASES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEER BURMAWALA ISMAILJEE MD (OWNER)
(937) 322-7260
Entity
Organization

Contact information

Practice address
1174 E HOME RD, SUITE N, SPRINGFIELD, OH 45503-2726
(937) 322-7260
(937) 398-0358
Mailing address
1174 E HOME RD, SUITE N, SPRINGFIELD, OH 45503-2726
(937) 322-7260
(937) 398-0358

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35083321
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2672577
OH
Enumeration date
07/16/2006
Last updated
12/12/2007
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