Individual
ABIDEMI ADETOYESE ADEGBOLA
Active
Individual
ABIDEMI ADETOYESE ADEGBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
227766
MA
2084P0800X
Psychiatry Physician
13062
NH
2084P0800X
Psychiatry Physician
Primary
MD446583
PA
2084P0804X
Child & Adolescent Psychiatry Physician
13062
NH
Other
Enumeration date
11/14/2006
Last updated
06/17/2021
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