Provider Demographics
NPI:1760660146
Name:ALAE ZARIF MD LLC
Entity Type:Organization
Organization Name:ALAE ZARIF MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-629-9568
Mailing Address - Street 1:PO BOX 679
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-0679
Mailing Address - Country:US
Mailing Address - Phone:410-641-9450
Mailing Address - Fax:410-641-9515
Practice Address - Street 1:9956 NORTH MAIN STREET
Practice Address - Street 2:UNIT 2
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-629-9568
Practice Address - Fax:410-641-9573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD533SMedicare PIN