Individual
DR. OLUFUNSHO OLADELE FAMUYIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
292 SAINT CHARLES WAY, YORK, PA 17402
(717) 851-6231
(717) 851-5978
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD419550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001902831
—
PA
01
—
03253001
CAPITAL BLUE CROSS-WMG
PA
01
—
104612
JOHNS HOPKINS
PA
01
—
136309
UNISON-WMG
PA
01
—
1404335
HIGHMARK BLUE SHIELD
PA
01
—
1530147
GATEWAY-WMG
PA
01
—
20017690
AMERIHEALTH MERCY-WMG
PA
01
—
367128
MAMSI-WMG
PA
01
—
615820
CAREFIRST MD BCBS
MD
01
—
7673463
AETNA
PA
01
—
83883
GEISINGER
PA
Enumeration date
06/28/2006
Last updated
01/08/2010
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