Individual
PAULINE A WALKS-AKINTOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 676-1396
Mailing address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 636-4500
(718) 636-2998
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
AW2478091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235300799
37 N DAY
NJ
01
—
1932370483
444 WILLIAM STREET
NJ
01
—
1972778413
1150 SPRINGFIELD
NJ
05
—
5299608
—
NJ
Enumeration date
07/24/2006
Last updated
12/18/2019
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