Individual
OLUBUKOLA OPEYEMI OLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 S 16TH ST, APT 4F, PHILADELPHIA, PA 19146-1661
(201) 407-8764
Mailing address
401 SOUTH 16TH STREET, APT 4F, PHILADELPHIA, PA 19146-1661
(201) 407-8764
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT200404
PA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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