# DA BRIJ LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144975095
- **Authorized official:** OLUKAYODE AGUNBIADE APN (NURSE PRACTITIONER)
- **Authorized official phone:** (862) 215-5643

## Contact information

- **Practice address:** 43 HOLLAND ST, NEWARK, NJ 07103-2098
- **Practice address phone:** (862) 215-5643
- **Mailing address:** 43 HOLLAND ST, NEWARK, NJ 07103-2098
- **Mailing address phone:** (862) 215-5643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 02/18/2022