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Organization
DEBOBETH MEDICAL CENTER
Active
Organization
DEBOBETH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY FADOJU NP (PROVIDER)
(443) 904-5129
Entity
Organization
Contact information
Practice address
3109 ERDMAN AVE, BALTIMORE, MD 21213-1765
(410) 869-4602
Mailing address
3109 ERDMAN AVE, BALTIMORE, MD 21213-1765
(410) 869-4602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RI33965
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414768500
—
MD
Enumeration date
08/25/2018
Last updated
04/17/2026
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