Individual
DR. SAMSON A OMOTOSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 GARRISON BLVD, SUITE 104, BALTIMORE, MD 21216-2335
(410) 233-6200
Mailing address
10701 CHAPELDALE RD, RANDALLSTOWN, MD 21133-1044
(443) 858-3189
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R115849
MD
Other
Enumeration date
01/11/2012
Last updated
10/01/2025
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