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NPI Code Detail

MEDICARE: OLUFIROPO ABIODUN OJO

MEDICARE:   OLUFIROPO ABIODUN OJO
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
1247200000XOther Technician630107010427145MD
2247200000XOther TechnicianMT11754MD

General Provider Information

NPI Number : 1386077170
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUFIROPO ABIODUN OJO
Provider Business Mailing Address
First Line : 8319 LIBERTY RD
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-3127
Country : US
Telephone Number : 443-527-0700
Fax Number :
Provider Business Practice Location Address
First Line : 8319 LIBERTY RD
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-3127
Country : US
Telephone Number : 443-527-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/15/2013

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Directions to “ OLUFIROPO ABIODUN OJO ” Practice Location

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