Organization
IN THIS MOMENT RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAJAH JALLOH NP (NURSE PRACTITIONER)
(732) 309-3251
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(732) 309-3251
Mailing address
51 SAINT CHARLES ST APT 2, NEWARK, NJ 07105-5023
(732) 309-3251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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