Individual
DR. ADEBAMBO DOLAPO OLAJITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FCCP
Contact information
Practice address
800 MANOR RD, SUITE #3, STATEN ISLAND, NY 10314-7034
(347) 562-2753
(347) 289-5100
Mailing address
800 MANOR RD, SUITE #3, STATEN ISLAND, NY 10314-7034
(347) 562-2753
(347) 289-5100
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
212276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883816
—
NY
01
—
11455768
CAQH NUMBER
—
Enumeration date
05/31/2005
Last updated
07/08/2007
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