Organization
STANDARDCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABATUNDE EDUN MD (OWNER)
(718) 710-9796
Entity
Organization
Contact information
Practice address
1314 HARRIS WAY, BROOKHAVEN, GA 30319-3817
(718) 710-9796
Mailing address
1314 HARRIS WAY, BROOKHAVEN, GA 30319-3817
(718) 710-9796
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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