Provider Demographics
NPI:1053845065
Name:ADEPOJU, TOMILADE (MD)
Entity type:Individual
Prefix:
First Name:TOMILADE
Middle Name:
Last Name:ADEPOJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 14TH ST STE 2N71
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1013
Mailing Address - Country:US
Mailing Address - Phone:302-320-6485
Mailing Address - Fax:302-320-4536
Practice Address - Street 1:501 W 14TH ST STE 2N71
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-6485
Practice Address - Fax:302-320-4536
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA287146207W00000X
DEC1-0025205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology