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Olumide Damilola Akinmoju, M.D

Student in an Organized Health Care Education/Training Program in Newburgh, NY. Individual provider (NPI-1).

NPI number1104679331
StatusActive
Last updated in NPPESAug 2, 2024

Details

NPI
1104679331
Entity type
Individual (NPI-1)
Name
Olumide Damilola Akinmoju
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2024
Last updated
Aug 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

70 Dubois Street
Montefiore St. Luke'S Cornwall
Newburgh, NY 12550

Phone 845-561-4400 · Fax 845-568-2614

Mailing address

70 Dubois Street
Montefiore St. Luke'S Cornwall
Newburgh, NY 12550

Phone 845-561-4400 · Fax 845-568-2614

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