Organization
EDGE PEDIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBINNA EGO-OSUALA (PHYSICIAN)
(240) 501-5797
Entity
Organization
Contact information
Practice address
7500 HANOVER PKWY STE 203, GREENBELT, MD 20770-2009
(301) 895-7337
Mailing address
PO BOX 345, LANHAM, MD 20703-0345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532153100
—
MD
Enumeration date
12/03/2019
Last updated
05/07/2026
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