Provider Demographics
NPI:1922029651
Name:ARIGANJOYE, RAFIU OLAGBOYEGA (MD,MBA)
Entity Type:Individual
Prefix:DR
First Name:RAFIU
Middle Name:OLAGBOYEGA
Last Name:ARIGANJOYE
Suffix:
Gender:M
Credentials:MD,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NORBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6119
Mailing Address - Country:US
Mailing Address - Phone:917-405-5260
Mailing Address - Fax:
Practice Address - Street 1:1650 SELWYN AVE
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, SUITE 6-D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7626
Practice Address - Country:US
Practice Address - Phone:718-518-5760
Practice Address - Fax:718-518-5124
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06954400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6900885007OtherMEDICAL EDUCATION NUMBER
NY01887154Medicaid
NY01887154Medicaid
NY947821Medicare ID - Type Unspecified