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Organization
WESTSIDE MEDICAL GROUP L. L. C
Active
Organization
WESTSIDE MEDICAL GROUP L. L. C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAJUDEEN I OHIOKPEHAI M.D. (PRESIDENT)
(410) 922-7382
Entity
Organization
Contact information
Practice address
2600 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7804
(410) 383-4424
Mailing address
PO BOX 922, BROOKLANDVILLE, MD 21022-0922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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