Doctor Name: | DANIEL BOLORUNDURO FAGBUYI |
NPI Number: | 1053354696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD428894 |
Business Practice Address: | One St Francis Way Cranberry Township, PA - 16066 |
Business Phone Number: | 4126927692 |
Business Fax Number: | 4126927464 |
Mailing Address: | 200 Lothrop Street, Forbes Tower Suite 9055 PITTSBURGH |
State: | PA |
Postal Code: | 15213 |
Phone Number: | 4126927692 |
Fax Number: | 4126927464 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0204X |
License Number: | MD428894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Emergency Medicine |
Taxonomy Definition: | A pediatrician who has special qualifications to manage emergencies in infants and children. |