Individual
ISIAKA A BOLARINWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
(856) 282-5566
(856) 396-9917
Mailing address
822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
(856) 282-5566
(856) 396-9917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD-073693-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA072697
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD073693-L
LICENSE
PA
Enumeration date
05/15/2006
Last updated
02/24/2026
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