Provider Demographics
NPI:1285828236
Name:AFOLABI-BROWN, OLAYINKA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLAYINKA
Middle Name:
Last Name:AFOLABI-BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 PENN BLVD FL 2
Mailing Address - Street 2:EINSTEIN CARDIOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1476
Mailing Address - Country:US
Mailing Address - Phone:215-951-8970
Mailing Address - Fax:215-951-8558
Practice Address - Street 1:1 PENN BLVD
Practice Address - Street 2:TOWER BUILDING 2ND FLOOR EINSTEIN CARDIOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1476
Practice Address - Country:US
Practice Address - Phone:215-951-8970
Practice Address - Fax:215-951-8558
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY249176174400000X
PAMT199515390200000X
PAMD207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA246633GQAMedicare PIN