Individual
DR. ABAYOMI O IGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 455-3900
Mailing address
870 FIELD CREST CT, BLUE BELL, PA 19422-1301
(215) 456-4068
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD060130L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD060130L
PA
Other
Enumeration date
06/23/2005
Last updated
06/28/2011
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