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Individual

ADEYINKA A ADEDIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4400
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
223325
MA
207P00000X
Emergency Medicine Physician
Primary
MD00049015
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2102757
MA
01
470375
TUFTS
MA
05
8504292
WA
01
J28758
BCBS
MA
01
P00256502
RR MCR
MA
Enumeration date
02/03/2006
Last updated
07/02/2008
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