Provider Demographics
NPI:1699203471
Name:AKINKUOLIE, AKINTUNDE O (MBBS,MPH)
Entity Type:Individual
Prefix:
First Name:AKINTUNDE
Middle Name:O
Last Name:AKINKUOLIE
Suffix:
Gender:M
Credentials:MBBS,MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:SOUTH SHORE HOSPITAL
Mailing Address - Street 2:143 LONGWATER DRIVE 201
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-792-4121
Mailing Address - Fax:781-878-6750
Practice Address - Street 1:COASTAL MEDICAL ASSOCIATES
Practice Address - Street 2:55 FOGG RD.
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2432
Practice Address - Country:US
Practice Address - Phone:781-624-8000
Practice Address - Fax:781-878-6750
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2022-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA271895207R00000X
CAA172627208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine