Individual
OLUMUYIWA ISHOLA FADAHUNSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1153 BERGEN ST, NEWARK, NJ 07112-2201
(862) 703-1375
Mailing address
1153 BERGEN ST, NEWARK, NJ 07112-2201
(862) 703-1375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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