Individual
DERICK OWUSU ANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6340
(585) 506-4185
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0099887
MD
Other
Enumeration date
12/29/2017
Last updated
04/05/2024
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