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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OMOTOLA O BALOGUN, MD

Active

DR. OMOTOLA O BALOGUN, MD is a Internal Medicine healthcare provider located in WYNNEWOOD, Pennsylvania. NPI 1982221750 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · WYNNEWOOD, PA

Registration Details

NPI Number
1982221750
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2020 (6.1476747290408 yrs)
Last Updated
Apr 24, 2024
Licenses
MD481834 (PA)
MD4819834 (PA)

Practice Information

Address
100 E LANCASTER AVE STE 4303
WYNNEWOOD, PA, 190963450
Browse PA providers · Browse ZIP 19096
Phone
4844764139
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in WYNNEWOOD, PA

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COLLEEN E O'CONNOR MD 1922087154
DR. WARD J O'DONNELL MD 1942280300
DR. M SUSAN BURKE MD 1083694442
DR. LISA A SARDANOPOLI MD 1164493300
DR. DONALD J COREY MD 1245201706
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.