Mobolaji Fowose, MD
Emergency Medicine in Reston, VA. Individual provider (NPI-1).
NPI number1194353847
StatusActive
Last updated in NPPESMar 30, 2025
Details
- NPI
- 1194353847
- Entity type
- Individual (NPI-1)
- Name
- Mobolaji Fowose
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 30, 2025
- Last updated
- Mar 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101280819 | VA | Yes |
Practice location
1850 Town Center PkwyReston, VA 20190-3204
Phone 703-689-9000
Mailing address
3400 Spruce StPhiladelphia, PA 19104-4238
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