CREATIVE LIFESTYLES MANAGEMENT PROG NPI 1871594846

NPI Information

  • NPI: 1871594846
  • Provider Name: CREATIVE LIFESTYLES MANAGEMENT PROG
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Doing Business As: ASTHMA/ALLERGY CENTER OF SOUTHERN MARYLAND
  • Address: 7501 SURRATTS ROAD
    SUITE 202
    CLINTON, MD
    ZIP 20735
  • Phone: (301) 877-4616

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NPI Details

CREATIVE LIFESTYLES MANAGEMENT PROG is a pulmonary disease internal medicine in Clinton, MD. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CREATIVE LIFESTYLES MANAGEMENT PROG NPI is 1871594846. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Asthma/allergy Center Of Southern Maryland.

The provider's business location address is:

7501 SURRATTS ROAD
SUITE 202
CLINTON, MD
ZIP 20735-358
Phone: (301) 877-4616
Fax: (301) 877-4355

The provider's authorized official is Michael J. Chiaramonte .
The authorized official title is President and has the following contact phone number (301) 877-4530.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseMARYLANDNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100650MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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