Provider Demographics
NPI:1679460109
Name:KOMOLAFE, BABAJIDE AYODEJI (MBBS)
Entity type:Individual
Prefix:
First Name:BABAJIDE
Middle Name:AYODEJI
Last Name:KOMOLAFE
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 ASYLUM AVENUE, ST. FRANCIS HOSPITAL GENGRAS CLINIC
Mailing Address - Street 2:SUITE 1004
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105
Mailing Address - Country:US
Mailing Address - Phone:860-714-4532
Mailing Address - Fax:860-714-8275
Practice Address - Street 1:1000 ASYLUM AVENUE, ST. FRANCIS HOSPITAL GENGRAS CLINIC
Practice Address - Street 2:SUITE 1004
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105
Practice Address - Country:US
Practice Address - Phone:860-714-8275
Practice Address - Fax:860-714-8275
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program