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Individual

ADENIYI OGUNKOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
964 SANFORD AVENUE, IRVINGTON, NJ 07111
(973) 371-9050
(973) 371-2593
Mailing address
964 SANFORD AVENUE, IRVINGTON, NJ 07111
(973) 371-9050
(973) 371-2593

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA41628
NJ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MA41628
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0671207
NJ
Enumeration date
09/28/2006
Last updated
02/06/2014
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