MEDICARE: SYDNEY ENGEL FLAMBAUM

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1851101125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY ENGEL FLAMBAUM

Provider Business Mailing Address
First Line	:	1400 20TH ST NW APT 901
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5962
Country	:	US
Telephone Number	:	484-680-8151
Fax Number	:

Provider Business Practice Location Address
First Line	:	12158 CENTRAL AVE
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-1932
Country	:	US
Telephone Number	:	301-390-3076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	01/09/2025

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Directions to “ SYDNEY ENGEL FLAMBAUM ” Practice Location

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