Individual
ABIMBOLA IBIRONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N CHARLES ST RM 3808, BALTIMORE, MD 21204-6881
(443) 849-8046
(443) 849-8057
Mailing address
12 CLEMATIS CT, OWINGS MILLS, MD 21117-5032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C08980
MD
208600000X
Surgery Physician
Primary
C08980
MD
Other
Enumeration date
04/20/2022
Last updated
08/04/2023
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