Organization
ACE HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAYINKA OLASIMBO PA-C (DIRECTOR OF ADMINISTRATION)
(443) 518-6574
Entity
Organization
Contact information
Practice address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(443) 518-6574
Mailing address
1315 BRETON DR, ELDERSBURG, MD 21784-6137
(443) 518-6574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467726760
—
MD
Enumeration date
07/22/2021
Last updated
07/22/2021
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