Individual
OLUKUNLE ABIODUN FAGBENRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
729 S 18TH STREET, NEWARK, NJ 07103
(862) 220-9269
Mailing address
729 S 18TH STREET, NEWARK, NJ 07103
(862) 220-9269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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