Individual
DR. ADERONKE OLUFUNLOLA BAMGBOSE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4100
Mailing address
64 BERTWELL RD, LEXINGTON, MA 02420-3330
(773) 310-3224
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1396139655
IL
2084P0800X
Psychiatry Physician
Primary
T290198
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
06/01/2023
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