Individual
DR. EVELYN KEMI BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,MPH
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-8150
(215) 707-5751
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-8150
(215) 707-5751
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD422795
PA
Other
Enumeration date
03/01/2007
Last updated
04/03/2008
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