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Individual

DR. AYODELE GANIYU AYOOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD434146
PA
207RX0202X
Medical Oncology Physician
79158
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014222101
MD
05
1024562890002
PA
01
1582969
GATEWAY-WMG
PA
01
2503756
HIGHMARK BLUE SHIELD
PA
01
30084758
AMERIHEALTH MERCY-WMG
PA
01
394320
UNISON-WMG
PA
01
416249
UPMC-WMG
PA
01
905540
CAREFIRST MD BCBS-WMG
MD
Enumeration date
02/26/2007
Last updated
09/10/2025
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