Individual
OLAMIDE IFATUROTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(609) 721-3620
Mailing address
9 GALSTON DR, PRINCETON JUNCTION, NJ 08550-3238
(609) 721-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0089879
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
07/08/2020
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