| Temitayo Gboluaje, MD | |
|
644 S Queen St Ste 106, Dover, DE 19904-3543 | |
| (302) 678-9002 | |
| (302) 678-9807 |
| Full Name | Temitayo Gboluaje |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 644 S Queen St Ste 106, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700339934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C1-0026083 (Delaware) | Primary |
| Entity Name | First State Gastroenterology Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023406055 PECOS PAC ID: 0547586471 Enrollment ID: O20150311001508 |
| Mailing Address | Practice Location Address |
|---|---|
| Temitayo Gboluaje, MD 644 S Queen St Ste 106, Dover, DE 19904-3543 Ph: (302) 678-9002 | Temitayo Gboluaje, MD 644 S Queen St Ste 106, Dover, DE 19904-3543 Ph: (302) 678-9002 |
Theodore Conrad Ang Tan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 810 New Burton Rd, Suite 3, Dover, DE 19904 Phone: 302-730-0554 Fax: 302-730-1175 | |
Francis Lim, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 S State St, Dover, DE 19901 Phone: 419-276-1194 | |
Safwan Muhammad, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 S State St, Dover, DE 19901 Phone: 879-022-5410 | |
Shwetha Gopal, Gastroenterology Medicare: Medicare Enrolled Practice Location: 640 S State St # 3055, Dover, DE 19901 Phone: 302-672-4600 | |
Dr. Wai Wai Lin, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1058 S Governors Ave Ste 101, Dover, DE 19904 Phone: 302-401-1500 Fax: 302-672-6450 | |
Abdul Muhaymin Siyal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 720 S Queen St, Dover, DE 19904 Phone: 302-734-7834 Fax: 302-734-7847 | |
Hyeon Jeong Park, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-744-7645 |