Individual
SIMON SALAWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
619-621 S 19TH ST, NEWARK, NJ 07103-1116
(862) 944-6724
Mailing address
619-621 S 19TH ST, NEWARK, NJ 07103-1116
(862) 944-6724
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01211500
NJ
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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