Healthcare Provider Details

I. General information

NPI: 1053552844
Provider Name (Legal Business Name): OLUWATOSIN GOJE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-8908
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-1461
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6601
  • Fax:
Mailing address:
  • Phone: 216-444-6601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number33011
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35121230
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: