Organization
J&T FUNCTIONAL MEDICINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB NWOSU DMSC-PA-C (OWNER)
(908) 456-3399
Entity
Organization
Contact information
Practice address
700 LIBERTY PL, SICKLERVILLE, NJ 08081-5715
(908) 456-3399
Mailing address
700 LIBERTY PL, SICKLERVILLE, NJ 08081-5715
(908) 456-3399
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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