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Individual

MR. VICTOR DIEKOLA BABATUNDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(781) 707-8238
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
25MA11742600
NJ
207U00000X
Nuclear Medicine Physician
MD468892
PA
2085R0202X
Diagnostic Radiology Physician
25MA11742600
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD468892
PA

Other

Enumeration date
03/29/2017
Last updated
02/28/2024
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