Provider Demographics
NPI:1184869737
Name:ADEYERI, AYOTUNDE (MD)
Entity type:Individual
Prefix:DR
First Name:AYOTUNDE
Middle Name:
Last Name:ADEYERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 628
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-0628
Mailing Address - Country:US
Mailing Address - Phone:609-367-2551
Mailing Address - Fax:732-739-9094
Practice Address - Street 1:668 N BEERS ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1526
Practice Address - Country:US
Practice Address - Phone:732-217-3897
Practice Address - Fax:732-739-9094
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08484400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery