Individual
FOLASADE OGUNTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 PARK TER, WEST ORANGE, NJ 07052-5716
(862) 216-5016
Mailing address
85 PARK TER, WEST ORANGE, NJ 07052-5716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14907600
NJ
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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