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ABEMWENSE OMEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 968-1800
(201) 968-1814
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(856) 669-6050
(856) 528-3117

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01219400
NJ
363LF0000X
Family Nurse Practitioner
348278
NY

Other

Enumeration date
09/08/2021
Last updated
01/05/2022
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