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Organization
BENJAMIN A. ADEWALE MD PC
Active
Organization
BENJAMIN A. ADEWALE MD PC
Active
Other names
Riverside Mental and Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ADEWALE M.D. (CEO)
(703) 569-8028
Entity
Organization
Contact information
Practice address
25 S QUAKER LN, SUITE 4, ALEXANDRIA, VA 22314-4585
(571) 257-4398
(703) 823-4407
Mailing address
25 S QUAKER LN, SUITE 4, ALEXANDRIA, VA 22314-4585
(571) 257-4398
(703) 823-4407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MD22004
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031768500
—
DC
Enumeration date
12/05/2011
Last updated
07/30/2013
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