Provider Demographics
NPI:1568821379
Name:CLINICAL RESEARCH GROUP
Entity Type:Organization
Organization Name:CLINICAL RESEARCH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERLSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-582-9300
Mailing Address - Street 1:5160 POOKS HILL RD
Mailing Address - Street 2:STE 7
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2070
Mailing Address - Country:US
Mailing Address - Phone:410-582-9300
Mailing Address - Fax:888-863-6470
Practice Address - Street 1:5160 POOKS HILL RD
Practice Address - Street 2:STE 7
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2070
Practice Address - Country:US
Practice Address - Phone:410-582-9300
Practice Address - Fax:888-863-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03368173F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty