NPI Profile for ADEWALE M BALOGUN in MOUNT SINAI, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Licensed Practical Nurse |
164W00000X |
| NPI # | 1457425613 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 11/20/2006 | |
| Last updated | 09/29/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ADEWALE M BALOGUN
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