Individual
EDWARD ACQUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 292-1400
Mailing address
152 ELDER AVE, BERGENFIELD, NJ 07621-1110
(845) 536-4645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14840900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975168
—
NJ
Enumeration date
05/09/2023
Last updated
05/30/2024
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