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Individual

DR. EJEMEARE P IGENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
6205 BALTIMORE NATIONAL PIKE, CATONSVILLE, MD 21228-2908
(410) 744-0199
(410) 744-0093
Mailing address
6609 24TH AVE, HYATTSVILLE, MD 20782-1711

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002016
VA
152W00000X
Optometrist
Primary
TA2237
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0721506
MD
Enumeration date
02/17/2011
Last updated
12/19/2024
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