Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 246368 | MA |
Y | 207RX0202X | Medical Oncology | 246368 | MA |
NPI | 1235398488 |
---|---|
Provider Name | Oreofe Odejide |
First Address | Jamaica Plain, MA 02130-4710 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 15/11/2018 |