Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 272792 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 272792 | NY |
NPI | 1083857593 |
---|---|
Provider Name | Dr. Oladapo Michael Babatunde |
First Address | Carlstadt, NJ 07072-1169 |
Second Address | Carlstadt, NJ 07072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 07/03/2020 |