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Contact Information

MARY D ADEBOWALE
24035 THREE NOTCH RD
HOLLYWOOD, MD20636-4871
 Phone: 301-373-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY D ADEBOWALE · (Female)

NPI # 1508423351
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2019
Last updated 01/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # R224585
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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