Individual
JOEL O OLUBODUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
891 HYDE PARK AVE, BOSTON PAIN CLINIC & PRIMARY CARE, HYDE PARK, MA 02136-3267
(617) 361-2166
Mailing address
20 PONTE LN, NORTH KINGSTOWN, RI 02852-4755
(617) 361-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205382
MA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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