Individual
EMIL KWABLA FIASORGBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7067 COLUMBIA GATEWAY DR STE 180, COLUMBIA, MD 21046-3408
(410) 929-7225
Mailing address
700 HENDERSON RD, BEL AIR, MD 21014-2515
(443) 655-9931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R208976
MD
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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