Individual
MR. FEMI RAMAT OMIDIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
40 UNION AVE STE 301, IRVINGTON, NJ 07111-3290
(973) 393-2296
(862) 849-2319
Mailing address
837 INWOOD RD, UNION, NJ 07083-6558
(973) 393-2296
(862) 849-2319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01012700
NJ
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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