Organization
MEDCITY FAMILY CLINIC LLC
Active
Organization
MEDCITY FAMILY CLINIC LLC
Active
Other names
Medcity Family Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH OLUBUKOLA ADEBULE (CEO)
(443) 623-3592
Entity
Organization
Contact information
Practice address
2509 WASHINGTON BLVD, BALTIMORE, MD 21230-1406
(443) 565-2408
Mailing address
2509 WASHINGTON BLVD, BALTIMORE, MD 21230-1406
(443) 835-4228
(301) 369-8694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/12/2026
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