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NPI Code Detail

MEDICARE: DR. OLALEKAN PAUL OLAYIWOLA MD

MEDICARE: DR. OLALEKAN PAUL OLAYIWOLA 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1720765316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLALEKAN PAUL OLAYIWOLA MD
Provider Business Mailing Address
First Line : 1050 GEORGE ST APT 3M
Second Line :
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1035
Country : US
Telephone Number : 848-437-1641
Fax Number :
Provider Business Practice Location Address
First Line : 703 N FLAMINGO RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1006
Country : US
Telephone Number : 954-844-0206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2023
Last Update Date : 06/05/2026

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