Organization
HABAKUK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYINKA OLASIMBO (PRESIDENT)
(443) 518-6574
Entity
Organization
Contact information
Practice address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(443) 518-6574
(410) 552-8289
Mailing address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(443) 518-6574
(410) 552-8289
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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