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BABATUNDE ADENUSI

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750748729

Individual Registrant:
 BABATUNDE  ADENUSI 
Gender: M
Sole Proprietor

Location and contact information for practice:
435 W BROOKHAVEN RD  BROOKHAVEN, PA 19015-1801 US
Tel: 610-499-1849  Fax: --

Contact information for business:
435 W BROOKHAVEN RD  BROOKHAVEN, PA 19015-1801 US
Tel: 610-499-1849  Fax: --

Registration Information:
NPI: 1750748729
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
PASP015829

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS PA - Page 1

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