Active NPIIndividual provider

Dr. Omodamola A Aje

Internal Medicine in Dorchester, Massachusetts

NPI Number1093207763
Practice location
2100 Dorchester Ave, Dorchester, MA 02124-5615
Fax
—
Last updated
May 30, 2018

Dr. Omodamola A Aje is a Internal Medicine based in Dorchester, MA. The NPI number for Dr. Omodamola A Aje is 1093207763 and holds license No. 275645 (MA). The current practice location address is 2100 Dorchester Ave, Dorchester, MA 02124-5615 and the office can be reached by phone at 617-506-2726. The NPI was assigned on May 30, 2018 and the record was last updated in NPPES on May 30, 2018.

●Provider Profile Details

NPI Number
1093207763
Provider Name
Omodamola Abisola Aje
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Enumeration Date
May 30, 2018
Last Update Date
May 30, 2018
NPI Status
Active

◉Business Practice Location Address

Address
2100 Dorchester Ave
Dorchester, MA 02124-5615
ZIP
02124-5615
Country
US
Phone Number
617-506-2726

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✉Business Mailing Address

Address
51 Woodbine St Apt 2
Boston, MA 02119-2132
City
Boston
State
MA
ZIP
02119-2132
Phone Number
316-744-5650

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine207R00000XYes275645MA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Omodamola A Aje?

The NPI number of Dr. Omodamola A Aje is 1093207763. It was assigned on May 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Omodamola A Aje?

Dr. Omodamola A Aje is registered under the primary taxonomy Internal Medicine (code 207R00000X) and holds license No. 275645 (MA).

Where does Dr. Omodamola A Aje practice?

The practice location is 2100 Dorchester Ave, Dorchester, MA 02124-5615. The office can be reached at 617-506-2726 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093207763 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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