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NPI Code Detail

MEDICARE: DR. NASSER NASSERI-ASL MD

MEDICARE:  DR. NASSER  NASSERI-ASL  MD
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
1174400000XSpecialistD0060914MD

General Provider Information

NPI Number : 1437119047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NASSER NASSERI-ASL MD
Provider Business Mailing Address
First Line : 700 GEIPE RD
Second Line : SUITE 266
City : CATONSVILLE
State : MD
Zip : 21228-4147
Country : US
Telephone Number : 410-744-0661
Fax Number : 410-744-8036
Provider Business Practice Location Address
First Line : 700 GEIPE RD STE 200
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-4176
Country : US
Telephone Number : 410-744-0661
Fax Number : 410-744-8036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 01/31/2024

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Directions to “ DR. NASSER NASSERI-ASL MD” Practice Location

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