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Dr. Bertrand Nkafu Andukwa Ebunji, MD
Military Health Care Provider in Patuxent River, Maryland
NPI 1629721667

Bertrand Nkafu Andukwa Ebunji is a Military Health Care Provider based in Patuxent River, MD. Bertrand Nkafu Andukwa Ebunji practices in Patuxent River, MD and has the professional credentials of MD. The NPI Number for Bertrand Nkafu Andukwa Ebunji is 1629721667 and holds a License No. 0101279747 (Maryland).

The current practice location address for Bertrand Nkafu Andukwa Ebunji is 47149 Buse Rd Bldg 1370, Patuxent River, MD and can be reached out via phone at 301-342-0029 and via fax at 301-342-4054.

Location: 47149 Buse Rd Bldg 1370, Patuxent River, MD, 20670-1540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629721667
Provider Name
Bertrand Nkafu Andukwa Ebunji
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
47149 Buse Rd Bldg 1370, Patuxent River, MD, 20670-1540
Phone Number
301-342-0029
Fax Number
301-342-4054
Provider Enumeration Date
01/31/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
47149 Buse Rd Bldg 1370
City
Patuxent River
State
Maryland
Zip
20670-1540
Phone Number
301-342-0029
Fax Number
301-342-4054
person
Provider Business Mailing Address Details
Address
47149 Buse Rd Bldg 1370
City
Patuxent River
State
Maryland
Zip
20670-1540
Phone Number
301-342-0029
Fax Number
301-342-4054
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101279747 (Virginia)
Definition
Definition to come...
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