NPI 1922035633

Mary Ogunsanya, MD

Practitioner Pediatrics Physician Glenn Dale, MD

Practice location

Address: 12150 Annapolis Rd Suite 208, Glenn Dale, MD 20769-9183
Phone: (301) 218-0398
Mailing address: PO Box 2132, Bowie, MD 20718-2132

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence D005630 (MD)

Other Pediatrics providers in Maryland →

Registry record

NPI: 1922035633
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2006
Record last updated: 9 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.