Babalola, Gbolagade O

Babalola, Gbolagade O is an individual health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Babalola, Gbolagade O can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550-5263
Phone: (845) 563-8000
Fax: (845) 565-1364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MB08334000 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 296706 New York

Profile Details

NPI number 1952301681
LBN Legal business name Babalola, Gbolagade O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jan 15th, 2019 - about 5 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 1952301681 NPPES
New Jersey MEDICAID 0174696
New Jersey MEDICAID 101291335

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