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Contact Information

SAMUEL B ADEGBOYEGA, DPM
310 CENTRAL AVE STE 102
EAST ORANGE, NJ07018-2838
 Phone: 973-207-1678
 Fax: 732-862-1242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMUEL B ADEGBOYEGA · (Male)

NPI # 1124281233
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/08/2008
Last updated 11/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00306200
  • NY License # 006368
  • NJ Other 25MD00306200 MEDICAL LICENSE
Hospital affiliation(s)
  • EAST ORANGE GENERAL HOSPITAL - (Acute Care)
    300 CENTRAL AVE
    EAST ORANGE, NJ 07018
  • HARLEM HOSPITAL CENTER - (Acute Care)
    506 LENOX AVENUE
    NEW YORK, NY 10037
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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