Individual
DR. OLAJIDE F OLAWEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2320
(718) 734-3015
Mailing address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2320
(718) 734-3015
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
224311
NY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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