Basic Information
| Provider Information | |||||||||
| NPI: | 1699203471 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AKINKUOLIE | ||||||||
| FirstName: | AKINTUNDE | ||||||||
| MiddleName: | O | ||||||||
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| Credential: | MBBS,MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | SOUTH SHORE HOSPITAL | ||||||||
| Address2: | 143 LONGWATER DRIVE 201 | ||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817924121 | ||||||||
| FaxNumber: | 7818786750 | ||||||||
| Practice Location | |||||||||
| Address1: | COASTAL MEDICAL ASSOCIATES | ||||||||
| Address2: | 55 FOGG RD. | ||||||||
| City: | WEYMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021902432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7816248000 | ||||||||
| FaxNumber: | 7818786750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2017 | ||||||||
| LastUpdateDate: | 09/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 271895 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | A172627 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.