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Organization

HERITAGE HEALTH SYSTEM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUBUNMI OLAIDE OLAWALE DNP, PMHNP-BC (NP)
(781) 742-0834
Entity
Organization

Contact information

Practice address
21 MAYOR THOMAS J MCGRATH HWY STE 306, QUINCY, MA 02169-5351
(781) 742-0834
(781) 459-2666
Mailing address
450 PROVIDENCE HWY # 1093, DEDHAM, MA 02026-6815
(781) 742-0834

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/25/2023
Last updated
08/20/2025
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