Organization
OMOLOYIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC OLANIRAN OMOLOYIN (OWNER/ APN)
(973) 978-0650
Entity
Organization
Contact information
Practice address
114 CANTERBURY LN, MORGANVILLE, NJ 07751-5200
(973) 978-0650
Mailing address
48 PRESTS MILL RD, OLD BRIDGE, NJ 08857-2740
(973) 978-0650
(973) 642-4530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
01/23/2025
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