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Dr. Modupeoluwa Owolabi, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1891360525

Modupeoluwa Owolabi is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Modupeoluwa Owolabi practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Modupeoluwa Owolabi is 1891360525 and holds a License No. 390200000X (New Jersey).

The current practice location address for Modupeoluwa Owolabi is 111 Central Ave, Newark, NJ and can be reached out via phone at 678-849-4198.

Location: 111 Central Ave, Newark, NJ, 07102-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891360525
Provider Name
Modupeoluwa Owolabi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 07102-1909
Phone Number
678-849-4198
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
678-849-4198
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
678-849-4198
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.
390200000X (New Jersey)
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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