Individual
OYINDAMOLA ABIMBOLA OMIJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(717) 273-8871
(717) 270-2429
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD447848
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD447848
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102872758
—
PA
01
—
MD447848
STATE LICENSE
PA
Enumeration date
06/27/2008
Last updated
08/08/2024
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