Kuponiyi Family Medicine
Internal Medicine in Linwood, NJ. Organization (NPI-2).
NPI number1922467620
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1922467620
- Entity type
- Organization (NPI-2)
- Legal business name
- Kuponiyi Family Medicine
- Organization subpart
- No
- Enumeration date
- Feb 23, 2016
- Last updated
- Feb 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RA0401X | Internal Medicine, Addiction Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Practice location
199 New RdSuite 61-398
Linwood, NJ 08221-2025
Phone 609-534-5859
Mailing address
199 New RdSuite 61-398
Linwood, NJ 08221-2025
Authorized official
Mojisola Dabney
Ceo
6095345859
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