Provider Demographics
NPI:1154459568
Name:DUROJAYE, ABIKE O (MD)
Entity Type:Individual
Prefix:
First Name:ABIKE
Middle Name:O
Last Name:DUROJAYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-3100
Mailing Address - Country:US
Mailing Address - Phone:570-322-1161
Mailing Address - Fax:570-322-2030
Practice Address - Street 1:700 HIGH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3100
Practice Address - Country:US
Practice Address - Phone:570-322-1161
Practice Address - Fax:570-322-2030
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078394002085R0202X
PAMD4571912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00847984OtherRAILROAD MEDICARE
NJP00847760OtherRAILROAD MEDICARE
PA1031082990001Medicaid
NJ0131644Medicaid
NJP00847977OtherRAILROAD MEDICARE
PA1031082990001Medicaid
NJP00847984OtherRAILROAD MEDICARE
NJ116378ZEKDMedicare PIN
NJ116378AMLMedicare PIN