Individual provider · NPI-1

Adebimpe Olubusayo Adewusi, MD

Pediatrics, Child Abuse Pediatrics · Providence, RI

NPI number1033372891

StatusActive

Last updated in NPPESMar 11, 2016

Details

NPI: 1033372891
Entity type: Individual (NPI-1)
Name: Adebimpe Olubusayo Adewusi
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Jul 2, 2008
Last updated: Mar 11, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080C0008X	Pediatrics, Child Abuse Pediatrics	MD14548	RI	Yes
208000000X	Pediatrics	MD442550	PA
208000000X	Pediatrics	MT193447	PA
282NC0060X	General Acute Care Hospital, Critical Access	MD442550	PA

Practice location

593 Eddy St
Porter 005
Providence, RI 02903-4923

Phone 401-444-2877 · Fax 401-444-3804

Mailing address

593 Eddy St
Porter 005
Providence, RI 02903-4923

Phone 401-444-2877 · Fax 401-444-3804

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