Individual
MOJISOLA OLUFUNMILAYO POPOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
245 N 15TH ST, PHILADELPHIA, PA 19102-1198
(215) 762-1179
Mailing address
1501 CITY AVE, WYNNEWOOD, PA 19096-3715
(832) 909-2903
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT218333
PA
Other
Enumeration date
06/25/2019
Last updated
09/01/2019
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