| Sirj, LLC | |
|
7300 Van Dusen Rd Laurel MD 20707-9463 | |
| (301) 725-4300 | |
| Not Available |
| Full Name | Sirj, LLC |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 7300 Van Dusen Rd, Laurel, Maryland |
| Authorized Official Name and Position | Jason Lee-llacer (OWNER) |
| Authorized Official Contact | 4439778406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sirj, LLC Po Box 2032 Baltimore MD 21203-2032 Ph: (301) 498-2922 | Sirj, LLC 7300 Van Dusen Rd Laurel MD 20707-9463 Ph: (301) 725-4300 |
| NPI Number | 1467745521 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467745521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (NU) | Primary |
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