Individual
DR. FASIL M WUBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
954 FORREST ST, BALTIMORE, MD 21202-4236
(410) 837-2135
Mailing address
9895 GOOD LUCK RD, APT # 5, LANHAM, MD 20706-3221
(301) 794-0008
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0064695
MD
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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