Adegboyega, Samuel Babatunde

Adegboyega, Samuel Babatunde is an sole proprietor health care provider with primary practice located at 310 Central Ave Ste 102 , East Orange NJ 07018-2838. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Adegboyega, Samuel Babatunde can be contacted via phone (973) 207-1678.

Contact Information

Primary practice address
310 Central Ave Ste 102 East Orange NJ 07018-2838
Phone: (973) 207-1678
Fax: (732) 862-1242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 006368 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00306200 New Jersey

Profile Details

NPI number 1124281233
LBN Legal business name Adegboyega, Samuel Babatunde
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2008
Last updated Nov 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124281233 NPPES
New Jersey Other 25MD00306200 MEDICAL LICENSE

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