Individual provider · NPI-1

Omolabake O Bankole, M.D.

Family Medicine · Robbinsville, NJ

NPI number1447697834
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1447697834
Entity type
Individual (NPI-1)
Name
Omolabake O Bankole
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2013
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25MA10038200NJYes

Practice location

2330 Route 33
Robbinsville, NJ 08691-1430

Phone 609-303-4400 · Fax 609-303-4401

Mailing address

2330 Route 33
Robbinsville, NJ 08691-1430

Phone 609-303-4400 · Fax 609-303-4401

Other practice locations

2627 Riverside Ave
Jacksonville, FL 32204-4712

Phone 904-308-7372 · Fax 904-308-2908

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