Individual
DR. BAMIDELE ADEOYE FAGBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP
Contact information
Practice address
534 PROSPECT ST, FALL RIVER, MA 02720-5281
(508) 973-7766
(508) 973-7753
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2301773
MA
Other
Enumeration date
06/25/2021
Last updated
11/18/2021
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