Provider Demographics
NPI:1396907812
Name:OJUTALAYO, AYOBAMI OLUJIMI (MD)
Entity type:Individual
Prefix:DR
First Name:AYOBAMI
Middle Name:OLUJIMI
Last Name:OJUTALAYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 SUTTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1631
Mailing Address - Country:US
Mailing Address - Phone:978-655-1987
Mailing Address - Fax:
Practice Address - Street 1:242 SUTTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1631
Practice Address - Country:US
Practice Address - Phone:978-655-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14971207Q00000X
MA245763207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine