Basic Information
| Provider Information | |||||||||
| NPI: | 1033556675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADABONYAN | ||||||||
| FirstName: | IFEOLUWA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12500 WILLOWBROOK RD | ||||||||
| Address2: | EMERGENCY DEPARTMENT | ||||||||
| City: | CUMBERLAND | ||||||||
| State: | MD | ||||||||
| PostalCode: | 215026393 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 12500 WILLOWBROOK RD | ||||||||
| Address2: | EMERGENCY DEPARTMENT | ||||||||
| City: | CUMBERLAND | ||||||||
| State: | MD | ||||||||
| PostalCode: | 215026393 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2409641200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2013 | ||||||||
| LastUpdateDate: | 10/01/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D0081004 | MD | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.