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Contact Information

MOFOLASAYO M ADENIYI, MD
175 S WILKES BARRE BLVD
WILKES-BARRE, PA18702-5040
 Phone: 570-829-2621
 Fax: 570-823-4332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MOFOLASAYO M ADENIYI · (Female)

NPI # 1831610724
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2017
Last updated 12/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD479433
  • WV License # 29560
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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