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Individual

DR. OBELE ACHA NGWODO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., P.A.

Contact information

Practice address
9915 WENZEL LN, SUITE B, FORT WASHINGTON, MD 20744-5756
(240) 247-7696
Mailing address
9915 WENZEL LANE, SUITE B, FORT WASHINGTON, MD 20744-5756
(240) 247-7696

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2353
PA

Other

Enumeration date
10/31/2024
Last updated
11/04/2024
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