Dr MOFOLUSO O AGBELESE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015 from University Of Massachusetts Medical School.
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
239 CRANSTON ST
PROVIDENCE
RI
029072406
Tel: 4014440580
| Npi | 1194178558 |
| Pac Id | 3779870076 |
| Professional Enrollment Id | I20160930000866 |
| Last Name | AGBELESE |
| First Name | MOFOLUSO |
| Middle Name | O |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Group Practice Pac Id | 9335050962 |
| Number Of Group Practice Members | 65 |
| Line 1 Street Address | 239 CRANSTON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029072406 |
| Phone Number | 4014440580 |
| Hospital Affiliation Ccn 1 | 410010 |
| Hospital Affiliation Lbn 1 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
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| Professional Accepts Medicare Assignment | Y |
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