Organization
BLESSED FAMILY CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLA FADIPE APN-C (FAMILY NURSE PRACTITIONER)
(862) 576-2061
Entity
Organization
Contact information
Practice address
34 UNION AVE, SUITE 201, IRVINGTON, NJ 07111-3219
(862) 217-4480
Mailing address
146 STUYVESANT AVE, FLOOR 2, NEWARK, NJ 07106-2508
(862) 576-2061
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26NJ00468500
NJ
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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