Organization
EDGE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELECHI EGO-OSUALA MD (OWNER)
(301) 613-5376
Entity
Organization
Contact information
Practice address
5305 KENILWORTH AVE # 100, RIVERDALE, MD 20737-3101
(301) 277-7110
Mailing address
5305 KENILWORTH AVE # 100, RIVERDALE, MD 20737-3101
(301) 277-7110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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