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Organization

BENJAMIN A. ADEWALE MD PC

Active
Other names
Riverside Mental and Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN ADEWALE M.D. (CEO)
(703) 569-8028
Entity
Organization

Contact information

Practice address
25 S QUAKER LN, SUITE 4, ALEXANDRIA, VA 22314-4585
(571) 257-4398
(703) 823-4407
Mailing address
25 S QUAKER LN, SUITE 4, ALEXANDRIA, VA 22314-4585
(571) 257-4398
(703) 823-4407

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MD22004
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031768500
DC
Enumeration date
12/05/2011
Last updated
07/30/2013
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