Individual
TITILOLA ALAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(914) 505-0944
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S0137
TX
282N00000X
General Acute Care Hospital
—
NY
Other
Enumeration date
06/11/2015
Last updated
06/12/2020
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