| Ruth N. Agwuna M.d.p.c | |
|
5084 Dorsey Hall Dr Ste 104 Ellicott City MD 21042-7892 | |
| (410) 772-9463 | |
| (410) 992-3509 |
| Full Name | Ruth N. Agwuna M.d.p.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5084 Dorsey Hall Dr Ste 104, Ellicott City, Maryland |
| Authorized Official Name and Position | Ngozi Ruth Agwuna (PRESIDENT) |
| Authorized Official Contact | 4107729463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth N. Agwuna M.d.p.c 5084 Dorsey Hall Dr Ste 104 Ellicott City MD 21042-7892 Ph: (410) 772-9463 | Ruth N. Agwuna M.d.p.c 5084 Dorsey Hall Dr Ste 104 Ellicott City MD 21042-7892 Ph: (410) 772-9463 |
| NPI Number | 1801352448 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801352448 | NPI | - | NPPES |
| 2805110 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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