Individual
OMOLOLA O JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 N HAMMONDS FERRY RD, SUITE C, LINTHICUM, MD 21090-1317
(410) 789-2500
(410) 789-2501
Mailing address
6020 HELEN DORSEY WAY, COLUMBIA, MD 21045-5046
(410) 964-5711
(410) 964-5711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D61341
MD
208000000X
Pediatrics Physician
D61341
MD
Other
Enumeration date
07/06/2006
Last updated
01/22/2008
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