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Individual

DR. OLUBUKOLA ABIGAIL ADELOLA

Active
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Individual

DR. OLUBUKOLA ABIGAIL ADELOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
321554
NY
207Q00000X
Family Medicine Physician
Primary
35.099923
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079745
—
OH
01
—
321554
REGISTRATION
NY
01
—
H173472
MEDICARE PTAN
OH
Enumeration date
07/20/2010
Last updated
05/09/2023
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