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Individual

DR. BABAJIDE EYITAYO FADITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 MERCANTILE LN STE 217, LARGO, MD 20774-5388
(301) 341-5000
(301) 341-5001
Mailing address
1450 MERCANTILE LN STE 217, LARGO, MD 20774-5388
(301) 341-5000
(301) 341-5001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D74464
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378100300
MD
Enumeration date
07/08/2010
Last updated
04/07/2025
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