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Organization

GERIPALMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOLULOPE FAMUYIRO MD (PRIMARY CARE-GERIATRICS)
(240) 437-4362
Entity
Organization

Contact information

Practice address
3636 S SHERWOOD FOREST BLVD STE 650, BATON ROUGE, LA 70816-5216
(240) 437-4362
Mailing address
3636 S SHERWOOD FOREST BLVD STE 650, BATON ROUGE, LA 70816-5216
(240) 437-4362

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
11/07/2023
Last updated
02/17/2024
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