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NPI Code Detail

MEDICARE: OLUWATOSIN O ODUNSI

MEDICARE: OLUWATOSIN O ODUNSI
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
1207V00000XObstetrics & Gynecology Physician036159424IL
2207VG0400XGynecology Physician036159424IL
3207V00000XObstetrics & Gynecology PhysicianMD61005429WA

General Provider Information

NPI Number : 1801216429
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUWATOSIN O ODUNSI
Provider Business Mailing Address
First Line : 1591 E MATISSE DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9834
Country : US
Telephone Number : 716-994-6457
Fax Number :
Provider Business Practice Location Address
First Line : 1591 E MATISSE DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9834
Country : US
Telephone Number : 716-994-6457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2014
Last Update Date : 04/20/2026

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Directions to “ OLUWATOSIN O ODUNSI ” Practice Location

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