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Search › Pennsylvania › 207R00000X

Omotola Balogun, MD

NPI 1982221750 · on the registry since 2020

Practice

Address
100 E Lancaster Ave Ste 4303
Wynnewood, PA 19096
Phone
(484) 476-4139
Organisation at this address
Gary Gordon
Walgreen Co.
Donald J Corey
Ling Associates
P&K Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
919

Additional practice sites

  • 5501 Old York Rd Ste 1, Philadelphia, PA
  • 2601 Holme Ave, Philadelphia, PA

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207P00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-24

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