Individual
DR. ADEBOWALE A. ADEYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803
(302) 651-4000
(302) 651-5838
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C1-0009070
DE
208000000X
Pediatrics Physician
MD437152
PA
2080P0206X
Pediatric Gastroenterology Physician
C1-0009070
DE
2080P0206X
Pediatric Gastroenterology Physician
MD437152
PA
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
MT215575
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020495
—
NJ
Enumeration date
03/28/2007
Last updated
06/25/2018
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