MEDICARE: CEDAR TREE MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1033587837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR TREE MEDICAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21922-0428
Country	:	US
Telephone Number	:	410-398-0590
Fax Number	:

Provider Business Practice Location Address
First Line	:	379 WALMART DR
Second Line	:
City	:	CAMDEN
State	:	DE
Zip	:	19934-1365
Country	:	US
Telephone Number	:	302-698-4441
Fax Number	:	302-595-3149

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ZAHID ASLAM
Credential	:
Telephone Number	:	302-698-4441

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	09/10/2015

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Directions to “CEDAR TREE MEDICAL LLC ” Practice Location

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