Individual
TEMITOPE O AJIBADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(718) 208-8355
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 370-3861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
536691
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN583759
PA
Other
Enumeration date
12/12/2007
Last updated
10/07/2024
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