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Moshood Omotayo, MD
Student in an Organized Health Care Education/Training Program in Paterson, New Jersey
NPI 1659074003

Moshood Omotayo is a Student in an Organized Health Care Education/Training Program based in Paterson, NJ. Moshood Omotayo practices in Paterson, NJ and has the professional credentials of MD. The NPI Number for Moshood Omotayo is 1659074003 and holds a License No. (New Jersey).

The current practice location address for Moshood Omotayo is 703 Main St, Paterson, NJ and can be reached out via phone at 973-754-2543.

Location: 703 Main St, Paterson, NJ, 07503-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659074003
Provider Name
Moshood Omotayo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
703 Main St, Paterson, NJ, 07503-2621
Phone Number
973-754-2543
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2543
Fax Number
person
Provider Business Mailing Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2543
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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