# BENEW A PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629789573
- **Authorized official:** ULOMA IBE MD (MANAGING MEMBER)
- **Authorized official phone:** (202) 704-3010

## Contact information

- **Practice address:** 9500 MEDICAL CENTER DR STE 105, LARGO, MD 20774-3703
- **Practice address phone:** (301) 615-4133
- **Mailing address:** 9500 MEDICAL CENTER DR STE 105, LARGO, MD 20774-3703
- **Mailing address phone:** (301) 615-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 12/12/2022