Provider Demographics
NPI:1497947022
Name:OKUBADEJO, GBOLAHAN OLAWOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:GBOLAHAN
Middle Name:OLAWOLE
Last Name:OKUBADEJO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 ROCKWOOD PL STE 335
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4959
Mailing Address - Country:US
Mailing Address - Phone:877-854-8274
Mailing Address - Fax:201-947-0850
Practice Address - Street 1:25 ROCKWOOD PL STE 335
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4959
Practice Address - Country:US
Practice Address - Phone:877-854-8274
Practice Address - Fax:201-947-0850
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2632421207XS0117X
PAMT190347207XS0117X
NJ25MA08442500207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine