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NPI Code Detail

MEDICARE: ADORA N OTIJI MD

MEDICARE:   ADORA N OTIJI  MD
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
1207Q00000XFamily Medicine PhysicianD0066811MD
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780728154
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADORA N OTIJI MD
Provider Business Mailing Address
First Line : 20 WATKINS PARK DR
Second Line : FAMILY MEDICINE, LOWER LEVEL
City : UPPER MARLBORO
State : MD
Zip : 20774-1628
Country : US
Telephone Number : 301-350-8500
Fax Number : 301-350-8503
Provider Business Practice Location Address
First Line : 20 WATKINS PARK DR
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1628
Country : US
Telephone Number : 301-350-8500
Fax Number : 301-350-8503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2007
Last Update Date : 06/08/2016

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