Provider Demographics
NPI:1003050022
Name:OYEYEMI, JUBRIL OYEKANMI (MD)
Entity Type:Individual
Prefix:DR
First Name:JUBRIL
Middle Name:OYEKANMI
Last Name:OYEYEMI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:40 LAKE CTR
Mailing Address - Street 2:401 ROUTE 73 N SUITE 201A
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3425
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0346
Practice Address - Street 1:175 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2038
Practice Address - Country:US
Practice Address - Phone:609-914-6180
Practice Address - Fax:609-914-6182
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2020-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD446405208M00000X
NJ25MA09168400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist