Individual
AMUDAT O ADEKUNLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TILTON AVE, TOMS RIVER, NJ 08757-5531
(732) 779-6041
Mailing address
30 TILTON AVE, TOMS RIVER, NJ 08757-5531
(732) 779-6041
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A18160407653732
NJ
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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