Individual
ALLISON LORNA AGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 E MONUMENT ST, BALTIMORE, MD 21287-0027
(410) 955-1725
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D66215
MD
207RI0200X
Infectious Disease Physician
D66215
MD
2080P0208X
Pediatric Infectious Diseases Physician
D66215
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014169100
—
MD
Enumeration date
02/01/2007
Last updated
10/06/2022
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