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Individual

DR. JOSEPH-VENATIUS I OSUAGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7131 LIBERTY RD STE 103, BALTIMORE, MD 21207-4580
(410) 325-5700
(410) 325-5700
Mailing address
4502 HAYWAGON WAY, ELLICOTT CITY, MD 21043-6555
(410) 325-5700
(410) 325-5765

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0050824
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093926206
MD
05
1700845641
MD
Enumeration date
03/20/2006
Last updated
09/30/2019
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