Individual provider · Type 1 NPI

Oluwanifemi Tolulase Balogun, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1558036103 Active

Practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Mailing address

1320 W Somerville Ave Apt SUITE219
Philadelphia, PA 19141-2968

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558036103

Oluwanifemi Tolulase Balogun, MD's National Provider Identifier is 1558036103, issued on Aug 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 14, 2021.