Individual
DR. EMMANUEL ADEKUNLE ADEDOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 BROAD ST STE 201, CLIFTON, NJ 07013-3346
(973) 754-4100
Mailing address
900 LYNN GARDEN DR, KINGSPORT, TN 37665-2145
(931) 432-8691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
047380
CT
207Q00000X
Family Medicine Physician
4301102418
MI
208D00000X
General Practice Physician
Primary
4301102418
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2007
Last updated
06/21/2024
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