Individual
DR. BENJAMIN A ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7011 CALAMO ST, #105, SPRINGFIELD, VA 22150
(703) 569-8028
(703) 569-8085
Mailing address
PO BOX 8057, ALEXANDRIA, VA 22306-8057
(703) 569-8028
(703) 569-8085
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101054165
VA
2084N0400X
Neurology Physician
D50874
MD
2084N0400X
Neurology Physician
MD22004
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033020-00
—
MD
05
—
4401280
—
DC
05
—
7107820
—
VA
Enumeration date
07/15/2006
Last updated
06/16/2018
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