| Issam F Damalouji Md | |
|
135 W Dares Beach Rd Prince Frederick MD 20678-3119 | |
| (410) 263-6638 | |
| (410) 268-6830 |
| Full Name | Issam F Damalouji Md |
|---|---|
| Speciality | Family Medicine |
| Location | 135 W Dares Beach Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Tracey L Haynes (BILLING AGENT OFC MGR) |
| Authorized Official Contact | 4102636638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Issam F Damalouji Md Po Box 3269 Prince Frederick MD 20678-2279 Ph: (410) 263-6638 | Issam F Damalouji Md 135 W Dares Beach Rd Prince Frederick MD 20678-3119 Ph: (410) 263-6638 |
| NPI Number | 1326172248 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0003077 (Maryland) | Primary |
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