Obasiolu, Charles-Chidi W

Obasiolu, Charles-Chidi W is an individual health care provider with primary practice located at Ctr For Fertility & Repro Hlth 133 Brookline Ave, Boston MA 02215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Obasiolu, Charles-Chidi W can be contacted via phone (617) 421-2987.

Contact Information

Primary practice address
Ctr For Fertility & Repro Hlth 133 Brookline Ave Boston MA 02215
Phone: (617) 421-2987
Fax: (617) 421-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 73931 Massachusetts
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 73931 Massachusetts

Profile Details

NPI number 1013022078
LBN Legal business name Obasiolu, Charles-Chidi W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 7th, 2011 - about 15 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 1013022078 NPPES
Massachusetts MEDICAID 3180468

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