Individual provider · Type 1 NPI

Lawrence Bamidele Oresanya, MD

Vascular Surgery Physician · Philadelphia, PA

NPI number 1609103571 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Call (415) 476-2773 Map

Mailing address

2450 W Hunting Park Ave Fl 3
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XMD456039 (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1609103571

Lawrence Bamidele Oresanya, MD's National Provider Identifier is 1609103571, issued on Nov 12, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2022.