Individual
CHARLES AYOWOLE OLALEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 E JEFFERSON ST STE 6WPPQA, ROCKVILLE, MD 20852-4908
(301) 816-5853
Mailing address
9209 TURNBULL RD, RANDALLSTOWN, MD 21133-3307
(443) 278-3817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101263114
VA
207Q00000X
Family Medicine Physician
Primary
D83402
MD
207Q00000X
Family Medicine Physician
MD045617
DC
Other
Enumeration date
06/25/2014
Last updated
12/03/2021
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