Basic Information
Provider Information
NPI: 1992148472
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKINTOYE
FirstName: HENRIETTA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 630 PLANTATION ST FL ST12
Address2:  
City: WORCESTER
State: MA
PostalCode: 016052038
CountryCode: US
TelephoneNumber: 5083685532
FaxNumber: 5084538062
Practice Location
Address1: 301 SAINT PAUL ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212022102
CountryCode: US
TelephoneNumber: 4103329000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/15/2013
LastUpdateDate: 09/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X270958MAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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