Provider Demographics
NPI:1154530301
Name:NNEWIHE, ADEBOLA (MD)
Entity type:Individual
Prefix:
First Name:ADEBOLA
Middle Name:
Last Name:NNEWIHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADEBOLA
Other - Middle Name:
Other - Last Name:AKANBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 BAYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7250
Mailing Address - Country:US
Mailing Address - Phone:609-383-4042
Mailing Address - Fax:715-804-5095
Practice Address - Street 1:611 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1669
Practice Address - Country:US
Practice Address - Phone:609-383-4042
Practice Address - Fax:715-804-5095
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431640207V00000X
NJ25MA08608200207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology