Basic Information
| Provider Information | |||||||||
| NPI: | 1285828236 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AFOLABI-BROWN | ||||||||
| FirstName: | OLAYINKA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PENN BLVD FL 2 | ||||||||
| Address2: | EINSTEIN CARDIOLOGY | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191441476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159518970 | ||||||||
| FaxNumber: | 2159518558 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 PENN BLVD | ||||||||
| Address2: | TOWER BUILDING 2ND FLOOR EINSTEIN CARDIOLOGY | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191441476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159518970 | ||||||||
| FaxNumber: | 2159518558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2007 | ||||||||
| LastUpdateDate: | 06/12/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 174400000X | 249176 | NY | N | Other Service Providers | Specialist | 390200000X | MT199515 | PA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RC0000X | MD | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.