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Individual

DR. HADDIJATOU SECKA OGUNSOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8055 RITCHIE HWY, SUITE 101, PASADENA, MD 21122-1067
(443) 825-4050
(443) 825-4051
Mailing address
8055 RITCHIE HWY, SUITE 101, PASADENA, MD 21122-1067
(443) 825-4050
(443) 825-4051

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0065596
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134618YR86
MEDICARE GROUP MEMBER PTAN
MD
01
AQ37-0001
CAREFIRST
DC
01
AQ37-0001
CAREFIRST
MD
Enumeration date
02/12/2007
Last updated
12/02/2014
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