Provider Demographics
NPI:1568090827
Name:SOPEYIN, ANUOLUWAPO ENIOLA
Entity Type:Individual
Prefix:
First Name:ANUOLUWAPO
Middle Name:ENIOLA
Last Name:SOPEYIN
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 1:22 GOLD ST APT 322
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1645
Mailing Address - Country:US
Mailing Address - Phone:347-265-5929
Mailing Address - Fax:
Practice Address - Street 1:BWH 75 FRANCIS STREET, BOSTON
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program