Creative Lifestyles Management Prog

NPI #1871594846 in Clinton, Maryland

Provider Information

NPI Number: 1871594846
Entity Type: Organization
Organization Name: Creative Lifestyles Management Prog
Primary Specialty: Internal Medicine - Pulmonary Disease
Enumeration Date: Aug 2, 2005
Last Updated: Nov 14, 2011

Practice Location

Address: 7501 SURRATTS ROAD
Address 2: SUITE 202
City: Clinton
State: Maryland
ZIP Code: 20735-3358
Phone: (301) 877-4616

Authorized Official

Name: MR. MICHAEL J. CHIARAMONTE, PRESIDENT
Title: PRESIDENT
Phone: (301) 877-4530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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