NPI 1154099240

Abiodun Oluwagbenga Sobowale

Practitioner Prosthetist Philadelphia, PA

Practice location

Address: 600 Washington Ave STE 18uc, Philadelphia, PA 19147-4836
Phone: (215) 298-0608
Fax: (215) 298-0608
Mailing address: 71 Lydia Dr STE 18uc, Smyrna, DE 19977-1912

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PO000261 (PA)

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Registry record

NPI: 1154099240
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2021
Record last updated: 2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.