Individual
DR. DARE VICTOR AJIBADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD/MPH
Contact information
Practice address
8714 GEORGIA AVE, SILVER SPRING, MD 20910-3601
(301) 276-4683
(301) 589-2007
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
0101273317
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
25MA09901800
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
D0092927
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD210001748
DC
2086S0122X
Plastic and Reconstructive Surgery Physician
MD462905
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
S2710
TX
Other
Enumeration date
04/20/2012
Last updated
05/08/2024
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