Individual
ADJOAVI FAKONAM ANDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1130 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 791-5555
(301) 791-8104
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0064550
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0064550
DHMH LICENSE
MD
Enumeration date
06/26/2006
Last updated
12/11/2019
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