Individual provider · NPI-1

Dr. Adebowale A. Adeyemi, MD

Pediatrics, Pediatric Transplant Hepatology · Wilmington, DE

NPI number1952420580
StatusActive
Last updated in NPPESJun 25, 2018

Details

NPI
1952420580
Entity type
Individual (NPI-1)
Name
Dr. Adebowale A. Adeyemi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2007
Last updated
Jun 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080T0004X Pediatrics, Pediatric Transplant HepatologyMT215575PAYes
208000000X PediatricsMD437152PA
208000000X PediatricsC1-0009070DE
2080P0206X Pediatrics, Pediatric GastroenterologyC1-0009070DE
2080P0206X Pediatrics, Pediatric GastroenterologyMD437152PA

Practice location

1600 Rockland Road
Wilmington, DE 19803

Phone 302-651-4000 · Fax 302-651-5838

Mailing address

Po Box 191
Provider Enrollment Dept
Rockland, DE 19732-0191

Phone 302-651-6212 · Fax 302-651-4945

Other practice locations

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Phone 215-590-3247

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