Organization
EBUBE E.ODUNUKWE, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBUBE ODUNUKWE M.D. (PRESIDENT)
(410) 760-1213
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 519, GLEN BURNIE, MD 21061-3099
(410) 760-1213
Mailing address
7310 RITCHIE HWY. # 519, GLEN BURNIE, MD 21061-3099
(410) 760-1213
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0037074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293961400
—
MD
Enumeration date
12/12/2011
Last updated
12/12/2011
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