Provider Demographics
NPI:1770835282
Name:JINADU, BABALOLA OLUFEMI (DO)
Entity Type:Individual
Prefix:
First Name:BABALOLA
Middle Name:OLUFEMI
Last Name:JINADU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 CLERK ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2715
Mailing Address - Country:US
Mailing Address - Phone:213-300-4958
Mailing Address - Fax:
Practice Address - Street 1:1 BAY AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4837
Practice Address - Country:US
Practice Address - Phone:973-429-6930
Practice Address - Fax:973-429-6209
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281062207V00000X
NJ25MB09876400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology