Provider Demographics
NPI:1346620721
Name:YAKUBU-OWOLEWA, ADEBOLA SHERIFATU (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEBOLA
Middle Name:SHERIFATU
Last Name:YAKUBU-OWOLEWA
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 1:720 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2885
Mailing Address - Country:US
Mailing Address - Phone:617-267-6767
Mailing Address - Fax:617-266-6763
Practice Address - Street 1:720 ALBANY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2885
Practice Address - Country:US
Practice Address - Phone:617-267-6767
Practice Address - Fax:617-266-6763
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA269680207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology