Ade Adetunji | |
1450 Mercantile Ln Ste 151, Upper Marlboro, MD 20774-5386 | |
(301) 386-5453 | |
(301) 386-5396 |
Full Name | Ade Adetunji |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1450 Mercantile Ln Ste 151, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962596031 | NPI | - | NPPES |
035063500 | Medicaid | DC | |
319906101 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01264 (Maryland) | Primary |
Provider Name | Ademuyiwa A Adetunji |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487638854 PECOS PAC ID: 7012943996 Enrollment ID: I20070702000224 |
Mailing Address | Practice Location Address |
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Ade Adetunji Po Box 265, Fulton, MD 20759-0265 Ph: (301) 386-5453 | Ade Adetunji 1450 Mercantile Ln Ste 151, Upper Marlboro, MD 20774-5386 Ph: (301) 386-5453 |
Dr. Khaled Attia Madi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500 | |
De La Sole Podiatric Medical Services Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 10507 Observatory Pl, Upper Marlboro, MD 20772 Phone: 404-606-7449 | |
Dr. Ademuyiwa Adekola Adetunji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1450 Mercantile Ln, Ste 151, Upper Marlboro, MD 20774 Phone: 301-386-5453 Fax: 301-386-5396 |