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Individual

DR. ADA I. OFFURUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D057761
MD
208M00000X
Hospitalist Physician
Primary
D57751
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034350700
DC
05
1000021653
DE
01
613252-01 & 02
BC/BS
MD
05
755103700
MD
Enumeration date
10/24/2005
Last updated
02/20/2015
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