Individual
OLUBUNMI B SASONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 HOOVER AVE, BLOOMFIELD, NJ 07003-3858
(862) 333-6400
(908) 248-8234
Mailing address
125 HOOVER AVE, BLOOMFIELD, NJ 07003-3858
(862) 333-6400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
123
NJ
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
NJ
Enumeration date
11/12/2021
Last updated
03/27/2023
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