Individual
DR. OMOTOLA JAIYEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 579-8500
Mailing address
103 DOUGLAS DR, TOWNSHIP OF WASHINGTON, NJ 07676-4503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7575300
NJ
207R00000X
Internal Medicine Physician
Primary
N4496
TX
Other
Enumeration date
11/09/2006
Last updated
10/30/2024
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