Individual
DR. SAMUEL BABATUNDE ADEGBOYEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
310 CENTRAL AVE STE 102, EAST ORANGE, NJ 07018-2838
(973) 207-1678
(732) 862-1242
Mailing address
83 ABERDEEN RD, MATAWAN, NJ 07747-2720
(973) 207-1678
(732) 862-1242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
006368
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00306200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MD00306200
MEDICAL LICENSE
NJ
Enumeration date
07/08/2008
Last updated
11/03/2020
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