Olufemi Otubanjo, PA-C

NPI #1336450220 in Elkridge, Maryland

Provider Information

NPI Number: 1336450220
Entity Type: Individual
Name: Olufemi Otubanjo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 25, 2010
Last Updated: May 19, 2020

Practice Location

Address: 6480 OLD WATERLOO RD
City: Elkridge
State: Maryland
ZIP Code: 21075-6508
Phone: (410) 799-0291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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