Individual
ABIODUN OLUWAGBENGA SOBOWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 WASHINGTON AVE STE 18UC, PHILADELPHIA, PA 19147-4836
(215) 298-0608
(215) 298-0608
Mailing address
71 LYDIA DR STE 18UC, SMYRNA, DE 19977-1912
(732) 500-0612
(215) 298-0806
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PO000261
PA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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