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Contact Information

MOFETOLUWA ADEOSUN
311 W 24TH ST FL 4
ERIE, PA16502-2665
 Phone: 814-452-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOFETOLUWA ADEOSUN · (Female)

NPI Number 1790466944
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2023
Last updated 07/31/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MT229941
Hospital affiliation(s) Not Available
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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