Organization
BENEW A PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULOMA IBE MD (MANAGING MEMBER)
(202) 704-3010
Entity
Organization
Contact information
Practice address
9500 MEDICAL CENTER DR STE 105, LARGO, MD 20774-3703
(301) 615-4133
Mailing address
9500 MEDICAL CENTER DR STE 105, LARGO, MD 20774-3703
(301) 615-4133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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