BABATUNDE F FAGBAMIYE MD
Physician/surgeon


Address: 18 Vine Place, Bloomfield, NJ 07003

BABATUNDE F FAGBAMIYE MD (Credential# 559576) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 20, 2006. The license expiration date date is January 31, 2007. The license status is INACTIVE.

Business Overview

BABATUNDE F FAGBAMIYE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041994. The credential type is physician/surgeon. The effective date is January 20, 2006. The expiration date is January 31, 2007. The business address is 18 Vine Place, Bloomfield, NJ 07003. The current status is inactive.

Basic Information

Licensee Name BABATUNDE F FAGBAMIYE MD
Credential ID 559576
Credential Number 1.041994
Credential Type Physician/Surgeon
Business Address 18 Vine Place
Bloomfield
NJ 07003
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-11-19
Effective Date 2006-01-20
Expiration Date 2007-01-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
356626 CSP.0034378 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 18 VINE PLACE
City BLOOMFIELD
State NJ
Zip Code 07003

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Ralph Pignataro 621 Broad St, Bloomfield, NJ 07003 Tax Preparer/facilitator Permit 2020-02-12 ~ 2022-02-28
Zenon Markewycz II 17 Lackawanna Place, Bloomfield, NJ 07003 Professional Engineer 2014-02-24 ~ 2015-01-31
Edgardo Perez 31 Newark Ave, Bloomfield, NJ 07003 Professional Engineer 2020-02-01 ~ 2021-01-31
Tawakalit T Ologunebi 9 Seely Ter, Bloomfield, NJ 07003 Pharmacist 2020-02-01 ~ 2022-01-31
Kurt L Padilla 21 Lackawanna Place, Bloomfield, NJ 07003 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City BLOOMFIELD
Zip Code 07003
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BLOOMFIELD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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