Individual
DR. AYODELE TOLULOPE SANGOSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-3022
(585) 276-1992
Mailing address
267 GRANT ST # STREET3, BRIDGEPORT, CT 06610-2805
(203) 384-3890
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
245603
NY
2086S0127X
Trauma Surgery Physician
245603
NY
2086S0127X
Trauma Surgery Physician
Primary
44725
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02906632
—
NY
Enumeration date
08/13/2007
Last updated
07/06/2023
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