Doctor Name: | DR. OLUKOLA A ADELEKE |
NPI Number: | 1124327309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 65P71601 |
Business Practice Address: | 1440 Pennington Rd Ewing, NJ - 086182669 |
Business Phone Number: | 6098901050 |
Business Fax Number: | 6098900950 |
Mailing Address: | 171 Breckenridge Dr, ERIAL |
State: | NJ |
Postal Code: | 080813240 |
Phone Number: | 8567830752 |
Fax Number: | 8567830752 |
NPI Enumeration Date: | 03/27/2011 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 65P71601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |