Dada, Tokunbo T

Dada, Tokunbo T is an sole proprietor health care provider with primary practice located at 50 Union Avenue Sutie 702, Irvington NJ 07111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dada, Tokunbo T can be contacted via phone (973) 373-7110.

Contact Information

Primary practice address
50 Union Avenue Sutie 702 Irvington NJ 07111
Fax: (973) 373-0076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04826700 New Jersey

Profile Details

NPI number 1144324559
LBN Legal business name Dada, Tokunbo T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2006
Last updated Apr 4th, 2019 - about 6 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 1144324559 NPPES
New Jersey MEDICAID 343730201

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