Individual
ADEKUNLE A. FAJANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 MAIN ST, SUITE 509, WORCESTER, MA 01608-2583
(508) 753-4151
Mailing address
390 MAIN ST, SUITE 509, WORCESTER, MA 01608-2583
(508) 753-4151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087336
—
MA
Enumeration date
11/18/2005
Last updated
06/03/2024
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