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Individual

DR. OLADAPO RICHARD OSUNTOKUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1615 E ELM ST, SCRANTON, PA 18505-3925
(570) 342-8305
(570) 344-1178
Mailing address
510 SKYLINE DR S, CLARKS SUMMIT, PA 18411-9146
(570) 585-5481
(570) 344-1178

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD427475
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD427475
PHYSICIAN LICENSE
PA
Enumeration date
07/08/2006
Last updated
07/08/2007
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