Individual
DR. ADEMUYIWA ADEKOLA ADETUNJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1450 MERCANTILE LN, STE 151, UPPER MARLBORO, MD 20774-5376
(301) 386-5453
(301) 386-5396
Mailing address
P.O.BOX 265, FULTON, MD 20759-0265
(301) 386-5453
(301) 386-5396
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
01264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319906101
—
MD
Enumeration date
11/30/2005
Last updated
05/10/2017
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