Organization
BUSHRA I. AL-AZZAWI, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUSHRA I AL-AZZAWI M.D. (OWNER)
(443) 559-5082
Entity
Organization
Contact information
Practice address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5082
(443) 559-5078
Mailing address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5082
(443) 559-5078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0061485
MD
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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