Provider Demographics
NPI:1194046375
Name:OGUNLADE, OLUBUSOLA (MD)
Entity type:Individual
Prefix:
First Name:OLUBUSOLA
Middle Name:
Last Name:OGUNLADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLUBUSOLA
Other - Middle Name:
Other - Last Name:OGUNLADE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:41 UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 STANTON CHRISTIANA RD STE 304
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2135
Practice Address - Country:US
Practice Address - Phone:302-691-3800
Practice Address - Fax:302-778-2250
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD82160207V00000X, 207V00000X
DEC1-0011010207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology