Organization
DA BRIJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUKAYODE AGUNBIADE APN (NURSE PRACTITIONER)
(862) 215-5643
Entity
Organization
Contact information
Practice address
43 HOLLAND ST, NEWARK, NJ 07103-2098
(862) 215-5643
Mailing address
43 HOLLAND ST, NEWARK, NJ 07103-2098
(862) 215-5643
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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