Soyombo, Aderemi
Soyombo, Aderemi is an individual health care provider with primary practice located at 22-18 Broadway Suite 201, Fair Lawn NJ 07410-3016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Soyombo, Aderemi can be contacted via phone (201) 475-5050.Contact Information
Primary practice address
22-18 Broadway Suite 201
Fair Lawn NJ 07410-3016
Phone: (201) 475-5050
Fax: (201) 475-5522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA08557600 | New Jersey |
Profile Details
| NPI number | 1649437856 |
|---|---|
| LBN Legal business name | Soyombo, Aderemi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Sep 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649437856 | NPPES |
| New Jersey | MEDICAID | 0207021 |
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