Organization

Massoud B. Alizadeh M.D.,pa

Clinic/Center in Hagerstown, MD(View on Map)

Legal Business Name

Massoud B. Alizadeh M.D.,pa

NPI Number

1013235894

NPI Type

Organization

Enumeration Date

05/04/2010

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D14800

Contact
Information

Purpose

Mailing
Location

Address

240 FREDERICK ST
240 FREDERICK ST

City

Hagerstown
Hagerstown

State

MD
MD

Postal Code

21740-6100
21740-6100

Country

US
US

Telephone Number

(301) 739-8049
(301) 739-8049

Authorized Official

Name

Dr. Massoud Alizadeh

Title or Position

PHYSICIAN

Telephone Number

(301) 739-8049

Identifiers

Identifier

004361300

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/04/2010

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