Individual
MR. EMMANUEL MADUABUCHI OKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ANDREWS VIEW CT, BALTIMORE, MD 21244
(410) 655-2383
Mailing address
3 ANDREWS VIEW CT, BALTIMORE, MD 21244
(410) 655-2388
(410) 655-2384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2365
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101952-00
—
MD
Enumeration date
05/19/2011
Last updated
05/19/2011
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