Individual
BOLAJI O ONABAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
PO BOX 512650, PHILADELPHIA, PA 19175-2650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0045149
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109200
JOHNS HOPKINS HEALTH CARE
MD
05
—
130441100
—
MD
01
—
2266876
AETNA HMO
MD
01
—
5226
BRAVO/ELDER HEALTH
MD
01
—
5384548
AETNA PPO
MD
01
—
5713318
CIGNA
MD
01
—
F551-0007
CARE FIRST BLUE CROSS
DC
Enumeration date
11/21/2005
Last updated
06/04/2009
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