Addo Ayensu, Gloria Ayeyidwom

Addo Ayensu, Gloria Ayeyidwom is an individual health care provider with primary practice located at 10777 Main St #203, Fairfax VA 22030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Addo Ayensu, Gloria Ayeyidwom can be contacted via phone (703) 246-2479.

Contact Information

Primary practice address
10777 Main St #203 Fairfax VA 22030
Phone: (703) 246-2479
Fax: (703) 273-0825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 0101059183 Virginia

Profile Details

NPI number 1134216674
LBN Legal business name Addo Ayensu, Gloria Ayeyidwom
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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