Individual
AISHAT OMOYENI OLAGUNJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4422 3RD AVENUE, ST BARNABAS HOSPITAL, BRONX, NY 10468-4709
(832) 417-6927
Mailing address
4422 3RD AVE DEPT OF, BRONX, NY 10457-2545
(718) 960-6202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2019-1104
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
08/12/2020
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