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Organization

MARYLAND CHILDREN HEALTH CENTER

Active
Other names
MARY OGUNSANYA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY OGUNSANYA MD (OWNER/PROVIDER)
(301) 218-0398
Entity
Organization

Contact information

Practice address
12150 ANNAPOLIS RD, STE 208, GLENN DALE, MD 20769-9183
(301) 218-0398
(301) 218-0040
Mailing address
P.O.BOX 2132, BOWIE, MD 20718-2132
(301) 218-0398
(301) 218-0040

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D005630
MD

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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