Provider Demographics
NPI:1750134946
Name:OJO, ADEDOLAPO OYINDAMOLA
Entity type:Individual
Prefix:
First Name:ADEDOLAPO
Middle Name:OYINDAMOLA
Last Name:OJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 SHIPPING AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1580
Mailing Address - Country:US
Mailing Address - Phone:862-944-0210
Mailing Address - Fax:
Practice Address - Street 1:327 BEACH 19TH ST APT 401
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4423
Practice Address - Country:US
Practice Address - Phone:862-944-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program