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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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