Individual
MR. AJITH MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 ADMIRAL DRIVE, APT 408, ANNAPOLIS, MD 21401-7532
(443) 458-5095
Mailing address
612 ADMIRAL DR, APT 408, ANNAPOLIS, MD 21401-2162
(443) 458-5095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17140
MD
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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