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Individual

OLADAPO A ODUJEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5501 OLD YORK RD, DEPARTMENT OF EMERGENCY MEDICINE, PHILADELPHIA, PA 19141-3018
(215) 456-6336
Mailing address
1 SOHO DRIVE, UNIT 102, JERSEY CITY, NJ 07305-1138
(732) 910-3276

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
241272
NY
207P00000X
Emergency Medicine Physician
Primary
25MA08145500
NJ
207P00000X
Emergency Medicine Physician
MD428043
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122734
NJ
01
P00357155
RAIL ROAD MEDICARE
NJ
Enumeration date
07/04/2006
Last updated
06/01/2009
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