Individual
DR. OLAJUMOKE OLANREWAJU FADUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER, WEST PAVILLION 1ST FL, PHILADELPHIA, PA 19104
(215) 662-3202
Mailing address
3400 CIVIC CENTER, WEST PAVILLION 1ST FL, PHILADELPHIA, PA 19104
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD451448
PA
207R00000X
Internal Medicine Physician
MD451448
PA
Other
Enumeration date
07/14/2009
Last updated
09/13/2019
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