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Gbenade Amosu

NPI 1306214085 · on the registry since 2015 · sole proprietor

Practice

Address
7029 Rutland St
Philadelphia, PA 19149
Phone
(215) 941-9885
Fax
(215) 821-2029

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania