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Individual

DR. OLUBODE OLUFAJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
2041 GEORGIA AVE, DEPARTMENT OF SURGERY, HOWARD UNIVERSITY HOSPITAL, WASHINGTON, DC 20060-1010
(202) 865-7179

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016012632
MO
208600000X
Surgery Physician
Primary
D0086028
MD

Other

Enumeration date
07/08/2016
Last updated
06/03/2019
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