Provider Demographics
NPI:1396377636
Name:AKINTUNDE, OLAJUMOKE OYINDOLA
Entity Type:Individual
Prefix:
First Name:OLAJUMOKE
Middle Name:OYINDOLA
Last Name:AKINTUNDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AMBER CT
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2758
Mailing Address - Country:US
Mailing Address - Phone:856-481-4780
Mailing Address - Fax:856-481-4780
Practice Address - Street 1:5 AMBER CT
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-2758
Practice Address - Country:US
Practice Address - Phone:856-481-4780
Practice Address - Fax:856-481-4780
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator