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Individual

NWAMAKA TAGBO FADAHUNSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 737-5340
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0072000
MD

Other

Enumeration date
10/08/2008
Last updated
06/03/2021
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