Individual
DANIEL OLUWATOBI SHONIBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5820
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1023097
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
04/13/2026
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