Organization
EQUIP HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKINLAWON OLUGBENGA AYENI MD (OWNER)
(703) 408-8328
Entity
Organization
Contact information
Practice address
1335 LINDEN AVE, STE 1, HALETHORPE, MD 21227-2407
(410) 737-8780
Mailing address
1335 LINDEN AVE, STE 1, HALETHORPE, MD 21227-2407
(410) 737-8780
(410) 737-8781
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
D0057747
MD
Other
Enumeration date
04/26/2011
Last updated
08/03/2011
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