Individual
ABIMBOLA O ORISAMOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 LONDONDERRY RD LOWR LEVEL, HARRISBURG, PA 17109-5317
(717) 724-6740
(717) 724-6741
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD467545
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103630493
—
PA
Enumeration date
04/29/2014
Last updated
12/30/2020
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