Provider Demographics
NPI:1821983081
Name:ADEWUYI, ADEDAMOLA
Entity type:Individual
Prefix:
First Name:ADEDAMOLA
Middle Name:
Last Name:ADEWUYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BUTTONWOODS AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7541
Mailing Address - Country:US
Mailing Address - Phone:401-921-2391
Mailing Address - Fax:
Practice Address - Street 1:66 BENEFIT ST.
Practice Address - Street 2:WESTBAY COMMUNITY ACTION
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-732-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker