Individual
OLAYINKA JOHNSON AGBOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
8081 INNOVATION PARK DR STE 700, FAIRFAX, VA 22031-4867
(571) 472-3321
Mailing address
57 BEAVER ST APT B, ANSONIA, CT 06401-3269
(860) 515-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281697
VA
Other
Enumeration date
03/19/2021
Last updated
11/12/2024
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