Organization
CREATIVE LIFESTYLES MANAGEMENT PROG
Active
Other names
Asthma/Allergy Center of Southern Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. CHIARAMONTE PRESIDENT (PRESIDENT)
(301) 877-4530
Entity
Organization
Contact information
Practice address
7501 SURRATTS ROAD, SUITE 202, CLINTON, MD 20735-3358
(301) 877-4616
(301) 877-4355
Mailing address
7503 SURRATTS ROAD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
MD
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/02/2005
Last updated
11/14/2011
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