Individual
BENEDICT OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4301 SGAR PINE CT, BURTONSVILLE, MD 20866
(301) 549-1202
Mailing address
4301 SUGAR PINE CT, BURTONSVILLE, MD 20866-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1030827
DC
363LF0000X
Family Nurse Practitioner
R197119
MD
Other
Enumeration date
03/24/2014
Last updated
01/07/2022
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