Individual
OMOLARA OLASIMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(443) 518-0070
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(443) 518-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT236349
PA
363A00000X
Physician Assistant
Primary
C0006739
MD
Other
Enumeration date
01/18/2018
Last updated
05/11/2026
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