NPI 1326172248

Issam F Damalouji MD

Organisation Family Medicine Physician Prince Frederick, MD

Practice location

Address: 135 W Dares Beach Rd, Prince Frederick, MD 20678-3119
Phone: (410) 263-6638
Fax: (410) 268-6830
Mailing address: PO Box 3269, Prince Frederick, MD 20678-2279

Authorised official

Name: Tracey L Haynes
Title: Billing Agent Ofc Mgr
Phone: (410) 263-6638

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D0003077 (MD)

Other Family Medicine providers in Maryland →

Registry record

NPI: 1326172248
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.