Individual
AUGUSTINE B NWABUEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5454 HARPERS FARM RD APT B3, COLUMBIA, MD 21044-1396
(240) 713-0170
Mailing address
5454 HARPERS FARM RD APT B3, COLUMBIA, MD 21044-1396
(240) 713-0170
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
HCS800178
MD
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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