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Organization
SPISOBOD CONNECTION
Active
Organization
SPISOBOD CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCHE O' KEEM NP-BC (OWNER)
(201) 650-0438
Entity
Organization
Contact information
Practice address
270 DAVIDSON AVE, SOMERSET, NJ 08873-4140
(201) 650-0438
Mailing address
PO BOX 6371, SOMERSET, NJ 08875-6371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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