Individual
KOJO SASAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
90 BRICK RD FL 3, MARLTON, NJ 08053-2177
(856) 355-6000
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ14906800
NJ
363L00000X
Nurse Practitioner
SP017918
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14906800
NJ
363LG0600X
Gerontology Nurse Practitioner
SP017918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103474880
—
PA
Enumeration date
09/28/2017
Last updated
01/26/2024
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