Individual
DR. AKINWUNMI O ABISOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 ROSEMARY DR, MANASSAS, VA 20109-7282
(703) 257-3001
(703) 257-3133
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-3308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101055703
VA
Other
Enumeration date
12/01/2006
Last updated
10/27/2011
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