Organization
EXCELLE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAIWO RITA ASAOLU NURSE PRACTITIONER (CEO)
(443) 630-2185
Entity
Organization
Contact information
Practice address
1134 YORK RD STE 208, LUTHERVILLE, MD 21093-6204
(667) 206-2520
(949) 693-4581
Mailing address
7515 GILLEY TER, ROSEDALE, MD 21237-3703
(443) 630-2185
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
01/23/2026
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