Individual provider · NPI-1
Albert Abraham Amar, ABOC
Technician/Technologist, Optician · Gaithersburg, MD
NPI number1578705877
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1578705877
- Entity type
- Individual (NPI-1)
- Name
- Mr. Albert Abraham Amar
- Credential
- ABOC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2009
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1101003599 | VA | Yes |
Practice location
600 S Frederick Ave Ste 108Gaithersburg, MD 20877-1244
Phone 240-643-1417
Mailing address
600 S Frederick Ave Ste 108Gaithersburg, MD 20877-1244
Phone 240-643-1417
Other practice locations
115 Coral Reef Ter
North Potomac, MD 20878-2977
North Potomac, MD 20878-2977
Phone 240-765-7051
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