Provider Demographics
NPI:1316207962
Name:OLADIPO, ANTONIA FRANCIS (MD, MSCI)
Entity Type:Individual
Prefix:MRS
First Name:ANTONIA
Middle Name:FRANCIS
Last Name:OLADIPO
Suffix:
Gender:F
Credentials:MD, MSCI
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:FRANCIS
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSCI
Mailing Address - Street 1:327 4TH STREET UNIT A
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2201
Mailing Address - Country:US
Mailing Address - Phone:347-249-6764
Mailing Address - Fax:
Practice Address - Street 1:30 PROSPECT AVE # 2W-73
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1915
Practice Address - Country:US
Practice Address - Phone:551-996-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284384207VM0101X
NJ25MA10586900207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine