Organization
RUTH N. AGWUNA M.D.P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZI RUTH AGWUNA M.D (PRESIDENT)
(410) 772-9463
Entity
Organization
Contact information
Practice address
5084 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7892
(410) 772-9463
(410) 992-3509
Mailing address
5084 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042-7892
(410) 772-9463
(410) 992-3509
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805110
—
MD
Enumeration date
02/19/2019
Last updated
02/19/2019
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