Individual
MR. OLUSOLA EWEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6514 MEADOWRIDGE RD, ELKRIDGE, MD 21075-6115
(855) 247-8474
Mailing address
1500 S COLUMBUS BLVD, PHILADELPHIA, PA 19147-5510
(215) 339-4747
(215) 339-5615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP123676
TX
Other
Enumeration date
10/25/2006
Last updated
12/07/2015
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