Provider Demographics
NPI:1225554033
Name:ODUKOYA, ASHLEY OLAKUNBI (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:OLAKUNBI
Last Name:ODUKOYA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 41657
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0001
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:333 MOUNT HOPE AVE STE 120
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-1655
Practice Address - Country:US
Practice Address - Phone:973-895-6601
Practice Address - Fax:973-895-5325
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10830500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine