| Doctor Name: | DR. ADEJOKE ABOLADE BABALOLA |
| NPI Number: | 1003051285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M |
| License Number: | N006283-1 |
| Business Practice Address: | 15-01 Pollitt Dr Ste 8b Fair Lawn, NJ - 074102769 |
| Business Phone Number: | 9172916966 |
| Business Fax Number: | 9175084815 |
| Mailing Address: | 11546 Mexico St, SAINT ALBANS |
| State: | NY |
| Postal Code: | 114122647 |
| Phone Number: | 7184702879 |
| Fax Number: | 7184702879 |
| NPI Enumeration Date: | 12/02/2008 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N006283-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |