Dr. Olasumbo Omowonuola Awoniyi, MD,MPH
Family Medicine in Paramus, NJ. Individual provider (NPI-1).
NPI number1073074969
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1073074969
- Entity type
- Individual (NPI-1)
- Name
- Dr. Olasumbo Omowonuola Awoniyi
- Credential
- MD,MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA11326400 | NJ | Yes |
Other names
- Olasumbo Omowonuola Soyoola (Former Name)
Practice location
230 E Ridgewood AveParamus, NJ 07652-4142
Phone 201-967-4000
Mailing address
230 E Ridgewood AveParamus, NJ 07652-4142
Phone 201-967-4000
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