Individual
OLASUMBO OLADERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 N OLDEN AVENUE EXT STE 11A, EWING, NJ 08618-2100
(609) 583-4970
(609) 323-7385
Mailing address
1901 N OLDEN AVENUE EXT STE 11A, EWING, NJ 08618-2100
(609) 583-4970
(609) 323-7385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00987800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751171
—
NJ
Enumeration date
11/20/2019
Last updated
01/28/2026
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