Individual
LAWRENCE BAMIDELE ORESANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(415) 476-2773
Mailing address
2450 W HUNTING PARK AVE FL 3, PHILADELPHIA, PA 19129-1302
(215) 707-8484
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD456039
PA
Other
Enumeration date
11/12/2009
Last updated
07/21/2022
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