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Individual

BENMICHAEL OLUSOLA IDOWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 267-6810
Mailing address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 267-6810

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.005283
OH
207R00000X
Internal Medicine Physician
Primary
OS018160
PA

Other

Enumeration date
07/09/2013
Last updated
03/17/2018
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