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Individual

TAIWO GBADEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
502 CENTENNIAL BLVD STE 3, VOORHEES, NJ 08043-9544
(856) 751-2300
(856) 751-2333
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 751-2300
(856) 751-2333

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR13633700
NJ
363LF0000X
Family Nurse Practitioner
SP012781
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0410217
NJ
Enumeration date
02/20/2014
Last updated
12/23/2025
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