Orisamolu, Abimbola O

Orisamolu, Abimbola O is an individual health care provider with primary practice located at 4300 Londonderry Rd Lowr Level , Harrisburg PA 17109-5317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Orisamolu, Abimbola O can be contacted via phone (717) 724-6740.

Contact Information

Primary practice address
4300 Londonderry Rd Lowr Level Harrisburg PA 17109-5317
Phone: (717) 724-6740
Fax: (717) 724-6741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD467545 Pennsylvania

Profile Details

NPI number 1114337227
LBN Legal business name Orisamolu, Abimbola O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2014
Last updated Dec 30th, 2020 - 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 1114337227 NPPES
Pennsylvania MEDICAID 103630493

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