Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rejuvaris

Organization Primary Care Clinic/Center · NPI 1417833856

Rejuvaris is a Primary Care Clinic/Center in Randallstown, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9635 Liberty Rd
Randallstown, MD 21133-2436
Phone: (410) 929-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1417833856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abisola Alade — Nurse Practitioner · (410) 929-4790
Other names Rejuvaris
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address9635 Liberty Rd, Randallstown, MD 21133-2436

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