Joel O Olubodun, MD
Internal Medicine in Hyde Park, Massachusetts
1700805835- Practice location
- 891 Hyde Park Ave, Boston Pain Clinic & Primary Care, Hyde Park, MA 02136-3267
- Phone
- 617-361-2166
- Fax
- —
- Last updated
- July 8, 2007
Joel O Olubodun is an Internal Medicine based in Hyde Park, MA. Joel O Olubodun practices in Hyde Park, MA and has the professional credentials of MD. The NPI Number for Joel O Olubodun is 1700805835 and holds a License No. 205382 (MA). The current practice location address for Joel O Olubodun is 891 Hyde Park Ave, Boston Pain Clinic & Primary Care, Hyde Park, MA 02136-3267 and can be reached out via phone at 617-361-2166.
Provider Profile Details
- NPI Number
- 1700805835
- Provider Name
- Joel O Olubodun
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 891 Hyde Park Ave, Boston Pain Clinic & Primary Care, Hyde Park, MA 02136-3267
- Phone Number
- 617-361-2166
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 891 Hyde Park Ave
Boston Pain Clinic & Primary Care
Hyde Park, MA 02136-3267 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-3267
- Phone Number
- 617-361-2166
Provider Business Mailing Address Details
- Address
- 20 Ponte Ln
North Kingstown, RI 02852-4755 - City
- North Kingstown
- State
- RI
- Zip
- 02852-4755
- Phone Number
- 617-361-2166
License Information
- License Number
- 205382
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy 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 Joel O Olubodun, MD?
The NPI number of Joel O Olubodun, MD is 1700805835. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Joel O Olubodun, MD?
Joel O Olubodun, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 205382.
Where does Joel O Olubodun, MD practice?
The practice location is 891 Hyde Park Ave, Boston Pain Clinic & Primary Care, Hyde Park, MA 02136-3267. The office can be reached at 617-361-2166 (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 1700805835 directly on the NPPES registry website.