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1609103571
LAWRENCE BAMIDELE ORESANYA
PHILADELPHIA, PA
NPI
1609103571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: PA MD456039)
Enumeration Date
2009-11-12
Last Update Date
2022-07-21
Business Address
-- LAWRENCE BAMIDELE ORESANYA M.D
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 415-476-2773
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Mailing Address
-- LAWRENCE BAMIDELE ORESANYA M.D
2450 W HUNTING PARK AVE FL 3
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-8484
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