Individual
ADEBOYE ADEOYE ADENIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 SOMERSET STREET, APT 3A, NEWARK, NJ 07108
(973) 517-4679
Mailing address
110 SOMERSET ST APT 3A, NEWARK, NJ 07108-2948
(973) 517-4679
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00279400
NJ
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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