Individual
DR. ADETOLA GBENGA MOWO-WALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3615
(718) 327-7307
Mailing address
13735 219TH ST, LAURELTON, NY 11413-2244
(734) 431-2336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P136450
NY
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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