Healthcare Provider Details

I. General information

NPI: 1871027581
Provider Name (Legal Business Name): OMOSEDE ATTOH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 E MOORESTOWN RD STE 105
WIND GAP PA
18091-9683
US

IV. Provider business mailing address

487 E MOORESTOWN RD STE 105
WIND GAP PA
18091-9683
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD470739
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: