Individual
ADEBOWALE PREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 DORCHESTER AVE, CAMBRIDGE, MD 21613-2425
(410) 228-1325
(410) 228-7936
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 366-8850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0059522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00754631
RAILROAD MEDICARE PTAN
MD
Enumeration date
08/16/2005
Last updated
02/28/2025
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