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NPI Code Detail

MEDICARE: ADESOLA ADEFOWOJU

MEDICARE: ADESOLA ADEFOWOJU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR210660MD

General Provider Information

NPI Number : 1518713668
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADESOLA ADEFOWOJU
Provider Business Mailing Address
First Line : 1130 DARGON QUARRY LN
Second Line :
City : BRUNSWICK
State : MD
Zip : 21716-9731
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 PLEASANT RIDGE DR STE G
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-2560
Country : US
Telephone Number : 443-438-6893
Fax Number : 443-869-4437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 05/26/2026

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Directions to “ ADESOLA ADEFOWOJU ” Practice Location

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