Individual provider · NPI-1

Enitan Adegite, MD

Pediatrics, Adolescent Medicine · Philadelphia, PA

NPI number1679893382
StatusActive
Last updated in NPPESMay 21, 2024

Details

NPI
1679893382
Entity type
Individual (NPI-1)
Name
Enitan Adegite
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2010
Certification date
May 21, 2024
Last updated
May 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicinemd439295PAYes
208000000X PediatricsMD439295PA

Practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Phone 215-427-5000

Mailing address

Po Box 13579
Reading, PA 19612-3579

Phone 484-628-1324

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