Individual
BABATUNDE MADAMIDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4770 WHITE PLAINS RD, BRONX, NY 10470-1136
(718) 931-9700
Mailing address
PO BOX 537, LOCUST GROVE, GA 30248-0537
(470) 502-3359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02210757
GA
363LF0000X
Family Nurse Practitioner
RN252517
GA
Other
Enumeration date
04/19/2021
Last updated
08/29/2022
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