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Individual

DR. EBUBE EJIKE ODUNUKWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7310 RITCHIE HWY., SUITE #519, GLEN BURNIE, MD 21061-3106
(410) 760-1213
(410) 760-1213
Mailing address
7310 RITCHIE HWY., SUITE #519, GLEN BURNIE, MD 21061-3106
(410) 760-1213
(410) 760-1213

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0037074
MD
207W00000X
Ophthalmology Physician
Primary
D37074
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293961400
MD
Enumeration date
02/07/2006
Last updated
11/18/2010
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