Provider Demographics
NPI:1740583681
Name:FALADE, OLAJUMOKE J (RN)
Entity Type:Individual
Prefix:MS
First Name:OLAJUMOKE
Middle Name:J
Last Name:FALADE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BODWELL ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2409
Mailing Address - Country:US
Mailing Address - Phone:617-288-2852
Mailing Address - Fax:
Practice Address - Street 1:14 BODWELL ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-2409
Practice Address - Country:US
Practice Address - Phone:617-288-2852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA271712163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse