Individual
SAFY MANANALAN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 330-6982
(301) 260-2838
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0057954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174500000
—
MD
05
—
920501200
—
MD
Enumeration date
07/13/2006
Last updated
11/02/2007
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