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Individual

TOLA B FASHOKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2411 W BELVEDERE AVE, BALTIMORE, MD 21215-5228
(410) 601-2523
(410) 601-2524
Mailing address
PO BOX 64313, BALTIMORE, MD 21264-4313
(410) 550-7802

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D60686
MD
207V00000X
Obstetrics & Gynecology Physician
MD2006-0148
NM
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
D60686
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402776100
MD
Enumeration date
10/02/2006
Last updated
03/14/2019
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