Individual
DR. ABAYOMI FAKUNLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 WOODLAWN DR, SUITE M, BALTIMORE, MD 21207-4023
(410) 298-3482
(410) 298-0314
Mailing address
13318 ROYDEN CT, ELLICOTT CITY, MD 21042-1218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D25326
MD
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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