Individual
DR. TEMIDAYO AYODELE FADELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215
(617) 632-4113
(617) 394-2718
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255195
MA
207RX0202X
Medical Oncology Physician
Primary
255195
MA
Other
Enumeration date
05/14/2010
Last updated
06/13/2018
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