Organization
PREMIER CHIROPRACTIC AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD FARAZDAGHI D.C (PRESIDENT)
(410) 235-6280
Entity
Organization
Contact information
Practice address
22 E 25TH ST, BALTIMORE, MD 21218-5142
(410) 235-6280
(410) 235-6281
Mailing address
22 E 25TH ST, BALTIMORE, MD 21218-5142
(410) 235-6280
(410) 235-6281
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S03399
MD
Other
Enumeration date
12/04/2006
Last updated
05/08/2015
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