Organization
SUPREME SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFEM E IMOKE M.D. (OWNER)
(410) 247-4740
Entity
Organization
Contact information
Practice address
4713 LEEDS AVE, BALTIMORE, MD 21227-1402
(410) 247-4740
(410) 247-2346
Mailing address
4713 LEEDS AVE, BALTIMORE, MD 21227-1402
(410) 247-4740
(410) 247-2346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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