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Dr. Bolaji Olugboja

Family Doctor - Addiction Medicine Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health

8515 Liberty Rd Ste B
Randallstown , Maryland 21133-4832

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Addiction Medicine
  • Nurse Practitioner - Family Medicine
  • Nurse Practitioner - Psychiatric/Mental Health
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

8515 Liberty Rd Ste B Randallstown , Maryland 21133-4832

First Address

  • Dr. Bolaji Olugboja
  • 8515 Liberty Rd Ste B
  • Randallstown, MD
  • Zip : 21133-4832
  • Fax : (410) 496-3121
  • Phone : (410) 301-6767

Second Address

  • Dr. Bolaji Olugboja
  • 8515 Liberty Rd Ste B
  • Randallstown, MD
  • Zip : 21133-4832
  • Fax : (410) 496-3121
  • Phone : (410) 301-6767

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FAQs


Where did Dr. Bolaji Olugboja attend graduate school?

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Where did Dr. Bolaji Olugboja do her residency?

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Where did Dr. Bolaji Olugboja do her fellowship?

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Is Dr. Bolaji Olugboja board certified?

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What type of doctor is Dr. Bolaji Olugboja

Nurse Practitioner - Psychiatric/Mental Health

In what state does Dr. Bolaji Olugboja practice in?

Maryland

Where is Dr. Bolaji Olugboja ’s practice located?

8515 Liberty Rd Ste B , Randallstown, Maryland, 21133-4832

What is Dr. Bolaji Olugboja ’s gender?

Female

Is Dr. Bolaji Olugboja a sole practitioner?

No

Is Dr. Bolaji Olugboja accepting new patients?

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What languages does Dr. Bolaji Olugboja speak?

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Does Dr. Bolaji Olugboja accept insurance?

Yes, Dr. Bolaji Olugboja accepts insurance

Does Dr. Bolaji Olugboja offers telemedicine?

Dr. Bolaji Olugboja has not indicated if she offers telemedicine

What is Dr. Bolaji Olugboja ’s professional license number?

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What is Dr. Bolaji Olugboja ’s NPI number?

1689005043

Does Dr. Bolaji Olugboja have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207QA0401X Family Doctor - Addiction Medicine R178347 MD
N 363LF0000X Nurse Practitioner - Family Medicine R178347 MD
Y 363LP0808X Nurse Practitioner - Psychiatric/Mental Health R178347 MD
N 363LP2300X Nurse Practitioner - Primary Care R210237 MD

National Provider Identifier

NPI 1689005043
Provider Name Dr. Bolaji Olugboja
First Address Randallstown, MD 21133-4832
Second Address Randallstown, MD 21133-4832
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/12/2013
Last Update Date 22/12/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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