Organization
DR.ALIF MANEJWALA
Active
Parent organization
SOLO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLO
Authorized official
NIKKI ANSARI (OFFICE MANAGER)
(410) 761-0507
Entity
Organization
Contact information
Practice address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 761-0507
(410) 787-0857
Mailing address
1307 CRAIN HWY S, GLEN BURNIE, MD 21061-4024
(410) 761-0507
(410) 787-0857
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D29748
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679681902
NPI
MD
05
—
275781800
—
MD
Enumeration date
10/03/2016
Last updated
10/03/2016
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