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NPI Code Detail

MEDICARE: PAULINE A WALKS-AKINTOBI MD

MEDICARE:   PAULINE A WALKS-AKINTOBI  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
12080A0000XPediatric Adolescent Medicine PhysicianAW2478091NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11235300799OTHERNJ37 N DAY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31972778413OTHERNJ1150 SPRINGFIELD
41932370483OTHERNJ444 WILLIAM STREET

General Provider Information

NPI Number : 1063434447
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE A WALKS-AKINTOBI MD
Provider Business Mailing Address
First Line : 1413 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2607
Country : US
Telephone Number : 718-636-4500
Fax Number : 718-636-2998
Provider Business Practice Location Address
First Line : 741 BROADWAY
Second Line :
City : NEWARK
State : NJ
Zip : 07104-4309
Country : US
Telephone Number : 973-483-1300
Fax Number : 973-676-1396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 12/18/2019

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Directions to “ PAULINE A WALKS-AKINTOBI MD” Practice Location

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