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Contact Information

OLAWALE FADUGBA, MD
65 JIMMIE LEEDS ROAD
DEPARTMENT OF ANESTHESIA AND PERIOPERATIVE MEDICINE
POMONA, NJ08240
 Phone: 609-748-7597
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for OLAWALE FADUGBA · (Male)

NPI Number 1457391674
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA72824
  • NJ Medicaid 8670404
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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