Individual
MR. OLUBUNMI ADETULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 DUNDAR RD STE 105, SPRINGFIELD, NJ 07081-3513
(908) 499-5375
Mailing address
11 DUNDAR RD STE 207, SPRINGFIELD, NJ 07081-3513
(908) 499-5375
(908) 368-8520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00654800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4734261
TAX ID
NJ
Enumeration date
09/01/2016
Last updated
01/15/2020
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