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NPI Code Detail

MEDICARE: PECOS T. OLURIN MD, PA

MEDICARE: PECOS T. OLURIN MD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC10005400DE
2207W00000XOphthalmology PhysicianC10005400DE

General Provider Information

NPI Number : 1518022235
Entity Type Code : Organization
Provider Name (Legal Business Name) : PECOS T. OLURIN MD, PA
Provider Business Mailing Address
First Line : 1403 N RODNEY ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-4218
Country : US
Telephone Number : 302-654-4800
Fax Number : 302-984-0440
Provider Business Practice Location Address
First Line : 1403 N RODNEY ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-4218
Country : US
Telephone Number : 302-654-4800
Fax Number : 302-984-0440
Authorized Official
Title or Position : PRESIDENT
Name : DR. TEMIDAYO A OLURIN
Credential :
Telephone Number : 302-654-4800
Provider Enumeration Date : 12/22/2006
Last Update Date : 04/25/2008

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Directions to “PECOS T. OLURIN MD, PA ” Practice Location

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