Individual
DR. KOLAWOLE JEGEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6740 4TH AVE, BROOKLYN, NY 11220-5350
(929) 455-2000
Mailing address
6740 4TH AVE, BROOKLYN, NY 11220-5350
(929) 455-2000
(929) 455-2020
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
290224
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2011
Last updated
04/05/2018
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