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Organization
KINGS MEDICAL ASSOCIATES
Active
Organization
KINGS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY OGIGI OYEM PMHNT-BC (NURSE PRACTIONER)
(973) 901-6187
Entity
Organization
Contact information
Practice address
1021 CALDWELL AVE, UNION, NJ 07083-5907
(973) 901-6187
Mailing address
1021 CALDWELL AVE, UNION, NJ 07083-5907
(973) 901-6187
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
03/19/2020
Last updated
03/19/2020
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