Individual
KAZEEM ALAO OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 S 12TH ST, NEWARK, NJ 07103-1740
(973) 392-0217
Mailing address
735 S 12TH ST, NEWARK, NJ 07103-1740
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00826700
NJ
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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