Individual
MRS. OLUBUKOLA OLAOLU OGUNNOWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
168 FRONTAGE RD, NEWARK, NJ 07114-3721
(973) 465-3670
Mailing address
168 FRONTAGE RD, NEWARK, NJ 07114-3721
(973) 465-3670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00147700
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00147700
NJ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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