Individual
DR. CHIAGOZIE OLUCHI FAWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST # UH4143, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(301) 651-6252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
288171-1
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
288171-1
NY
Other
Enumeration date
04/17/2011
Last updated
01/28/2026
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