# DEBOBETH MEDICAL CENTER

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

## Provider details

- **NPI number:** 1871074096
- **Authorized official:** MERCY FADOJU NP (PROVIDER)
- **Authorized official phone:** (443) 904-5129

## Contact information

- **Practice address:** 3109 ERDMAN AVE, BALTIMORE, MD 21213-1765
- **Practice address phone:** (410) 869-4602
- **Mailing address:** 3109 ERDMAN AVE, BALTIMORE, MD 21213-1765
- **Mailing address phone:** (410) 869-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RI33965 | MD | Yes |

## Other

- **Enumeration date:** 08/25/2018
- **Last updated:** 04/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 414768500 | — | MD |