Organization
ST REMI LLC
Active
Parent organization
LBN
Organization subpart
Yes
Provider details
NPI number
Legal business name
LBN
Authorized official
ISIAKA A BOLARINWA (PRESIDENT/ MEDICAL DIRECTOR)
(856) 282-5566
Entity
Organization
Contact information
Practice address
822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
(856) 282-5566
(856) 396-9917
Mailing address
822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
(856) 282-5566
(856) 885-4471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA072697
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
MA072697
NJ
Other
Enumeration date
06/20/2012
Last updated
02/04/2026
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