Individual provider · Type 1 NPI

Olatunde Osofisan, DPM

Foot & Ankle Surgery Podiatrist · Brooklyn, NY

NPI number 1306129341 Active

Practice location

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Mailing address

295 Throop Ave, Apt 1B
Brooklyn, NY 11206-7121

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine Podiatrist 213ES0000XR76156 (NY)
Podiatrist 213E00000XR76156 (NY)
Primary Podiatric Medicine Podiatrist 213EP1101XR76156 (NY)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XR76156 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1306129341

Olatunde Osofisan, DPM's National Provider Identifier is 1306129341, issued on Sep 26, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 26, 2011.