Individual provider · NPI-1

Dr. Olufunmilayo Olajumoke Adeyanju, M.D.

Family Medicine · Bronx, NY

NPI number1689613564
StatusActive
Last updated in NPPESMay 2, 2013

Details

NPI
1689613564
Entity type
Individual (NPI-1)
Name
Dr. Olufunmilayo Olajumoke Adeyanju
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2006
Last updated
May 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineBA9939250NYYes
207Q00000X Family Medicine25MA079357200NJ

Practice location

675 Nereid Ave
Optimum Family Medicine PC
Bronx, NY 10470-1514

Phone 718-655-7777

Mailing address

675 Nereid Ave
Bronx, NY 10470-1514

Phone 718-655-7777

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