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Organization

ISSAM DAYA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISSAM AFIF DAYA M.D. (PRESIDENT)
(410) 825-6778
Entity
Organization

Contact information

Practice address
8601 LA SALLE RD, SUITE 102, TOWSON, MD 21286-2004
(410) 825-6778
(410) 825-2744
Mailing address
8601 LA SALLE RD, SUITE 102, TOWSON, MD 21286-2004
(410) 825-6778
(410) 825-2744

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0033938
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
166388
MEDICARE
MD
01
DQ0837
RAILROAD MEDICARE
GA
01
T854-0001
CAREFIRST
DC
01
T854-0001
CAREFIRST
MD
Enumeration date
12/08/2009
Last updated
01/27/2016
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