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NPI Code Detail

MEDICARE: ADEWALE OLALERE MD

MEDICARE: ADEWALE OLALERE 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
1207RP1001XPulmonary Disease Physician2019-00272NC

General Provider Information

NPI Number : 1538160262
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEWALE OLALERE MD
Provider Business Mailing Address
First Line : 3511 W MARKET ST STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-4444
Country : US
Telephone Number : 336-522-8999
Fax Number : 336-522-8998
Provider Business Practice Location Address
First Line : 3511 W MARKET ST STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-4444
Country : US
Telephone Number : 336-522-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 02/11/2020

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Directions to “ ADEWALE OLALERE MD” Practice Location

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