Individual
GLENN ADESOJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3656
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
04/01/2024
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