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Individual

DR. EUGENE A OBAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 N CHARLES ST, STE 203, BALTIMORE, MD 21204-6800
(443) 849-3760
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D44018
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
644001100
MD
01
KJ15GB/529852-01
CAREFIRST MARYLAND GBMC
MD
01
S1380014
CAREFIRST REGIONAL GBMC
MD
Enumeration date
05/31/2006
Last updated
12/21/2011
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