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NPI Verification

National Provider Identifier: 1922569714

Mary Olubunmi Fakorede, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Primary

Practice Address

5200 EASTERN AVE FL W2

BALTIMORE, MD 212242757

Phone: 410-550-2999

NPI Enumeration Date

March 26, 2019

NPI Number

1922569714

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry