Organization
BAYSIDE BEHAVIORAL HEALTH CLINIC OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELEKE A OGUNMEFUN M.D. (MANAGING MEMBER)
(410) 292-4559
Entity
Organization
Contact information
Practice address
2444 SOLOMONS ISLAND RD STE 205, ANNAPOLIS, MD 21401-3723
(410) 292-4559
Mailing address
PO BOX 6250, ELLICOTT CITY, MD 21042-0250
(410) 292-4559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
12/29/2006
Last updated
10/26/2020
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