Individual
DR. PETER OLUSEYI BOLAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12420 MILESTONE CENTER DRIVE, GERMANTOWN, MD 20876
(240) 686-2300
Mailing address
12420 MILESTONE CENTER DRIVE, GERMANTOWN, MD 20876
(817) 368-6029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101269036
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/16/2018
Last updated
08/05/2021
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