DR. SAMUEL BABATUNDE ADEGBOYEGA DPM NPI 1124281233

NPI Information

DR. Samuel Babatunde Adegboyega, DPM is a foot and ankle surgery podiatrist in East Orange, NJ with 18 years of experience. DR. Samuel Babatunde Adegboyega, DPM NPI is 1124281233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2006

The provider's business location address is:

310 CENTRAL AVE STE 102
EAST ORANGE, NJ
ZIP 07018-838
Phone: (973) 207-1678
Fax: (732) 862-1242

The NPI 1124281233 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/8/2008 and was last updated on 11/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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