Organization
ODO MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA UWANAMODO (PRACTICE MANAGER)
(301) 527-8783
Entity
Organization
Contact information
Practice address
350C CHRISTOPHER AVE, GAITHERSBURG, MD 20879-3660
(301) 527-8783
Mailing address
350C CHRISTOPHER AVE, GAITHERSBURG, MD 20879-3660
(301) 527-8783
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0055686
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0055686
MD
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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