Organization
MOORISH SCIENCE TEMPLE OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM ZADEH (PROVIDER)
(240) 608-9196
Entity
Organization
Contact information
Practice address
132 S MULBERRY ST, HAGERSTOWN, MD 21740-5740
(240) 608-9196
Mailing address
132 S MULBERRY ST, HAGERSTOWN, MD 21740-5740
(240) 608-9196
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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