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Individual

DR. EFEM E IMOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 238-7451
Mailing address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 238-7451

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22450
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05251568
MS
Enumeration date
01/06/2006
Last updated
01/03/2016
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