Provider Information for 1134625981
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Dr. OLADIPO BANKOLE COLE MD
Sex: Male
NPI: 1134625981
Last Updated: 2024-05-23
Certification Date: 2024-05-23
Certification Date: 2024-05-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134625981 | ||||||||||||
| Enumeration Date | 2018-04-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: 860-679-2100 | Fax:860-679-7227 | ||||||||||||
| Primary Practice Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-8040 United States Phone: 860-679-2100 | Fax:860-679-7227 | ||||||||||||
| Secondary Practice Address(es) | 2623 S SEACREST BLVD | ||||||||||||
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