Individual
AYODEJI JOSHUA OMOSULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MHA
Contact information
Practice address
8322 BELLONA AVE STE 330, TOWSON, MD 21204-2077
(410) 825-6945
(410) 825-8974
Mailing address
UNIVERSITY OF MARYLAND, ST JOSEPH MEDICAL CENTER, 8322 BELLONA AVENUE, SUITE 330, TOWSON, MD 21204
(410) 825-6945
(410) 825-8974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301112096
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0090521
MD
Other
Enumeration date
03/29/2017
Last updated
08/02/2022
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