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General NPI Number Information
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NPI Number | 1831519024
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Entity Type | Individual
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Provider Name | KOLAWOLE OLUKAYODE OLUGBADE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2014
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1140 ROUTE 72 W
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City | STAFFORD TOWNSHIP
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State | NJ
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Zip | 08050-2412
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Country | US
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Telephone | 609-597-1991
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Fax | 609-597-8198
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 94248
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25MA12009400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 20818
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 280011
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License Number State | MA
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