Fadugba, Olawale

Fadugba, Olawale is an individual health care provider with primary practice located at 65 Jimmie Leeds Road Department Of Anesthesia And Perioperative Medicine, Pomona NJ 08240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fadugba, Olawale can be contacted via phone (609) 748-7597.

Contact Information

Primary practice address
65 Jimmie Leeds Road Department Of Anesthesia And Perioperative Medicine Pomona NJ 08240
Phone: (609) 748-7597
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA72824 New Jersey

Profile Details

NPI number 1457391674
LBN Legal business name Fadugba, Olawale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457391674 NPPES
New Jersey MEDICAID 8670404

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