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NPI Code Detail

MEDICARE: DR. OLUWAFEMI AKINBODE MD

MEDICARE:  DR. OLUWAFEMI  AKINBODE  MD
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 PhysicianP110242NY

General Provider Information

NPI Number : 1770246936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLUWAFEMI AKINBODE MD
Provider Business Mailing Address
First Line : 88 HILLSIDE AVE
Second Line :
City : HILLSIDE
State : NJ
Zip : 07205-1820
Country : US
Telephone Number : 973-424-3819
Fax Number :
Provider Business Practice Location Address
First Line : 6970 GRAND CENTRAL PKWY
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3949
Country : US
Telephone Number : 973-424-3819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2021
Last Update Date : 10/14/2021

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