Individual
DR. ENAKEME STELLA DOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 WOODLAND AVE, PHILADELPHIA, PA 19143
(215) 726-9807
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD050008L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014240900014
—
PA
05
—
0014240900015
—
PA
05
—
001424090002
—
PA
Enumeration date
10/04/2006
Last updated
10/17/2019
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