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Organization

PREMIER MEDICAL GROUP OF MARYLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY OLUBUNMI FAKOREDE (MD)
(410) 709-7432
Entity
Organization

Contact information

Practice address
516 N ROLLING RD STE 108, CATONSVILLE, MD 21228-4141
(410) 709-7432
Mailing address
516 N ROLLING RD STE 108, CATONSVILLE, MD 21228-4141
(410) 709-7432

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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