Individual
MARY ODUSANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 MORRIS AVE, SPRINGFIELD, NJ 07081-1158
(908) 312-0288
(908) 484-9447
Mailing address
454 MORRIS AVE, SPRINGFIELD, NJ 07081-1158
(908) 312-0288
(908) 484-9447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00735000
NJ
Other
Enumeration date
06/20/2017
Last updated
02/11/2025
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