NPI 1477081156 · live from the CMS NPI Registry
Raleke O Adibe, DO
Family Medicine in Somerdale, NJ. National Provider Identifier 1477081156, active.
NPI record
| NPI | 1477081156 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1 S White Horse Pike, Somerdale, NJ 08083 |
| Practice phone | 856-545-9620 |
| Enumerated | May 25, 2017 |
| Last updated | September 23, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | P18-00908 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.