Individual
MR. OLANREWAJU FAMAKINWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
(732) 486-7373
(732) 282-7300
Mailing address
1101 WARREN ST, ROSELLE, NJ 07203-2735
(862) 368-5399
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00888100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00888100
NJ
Other
Enumeration date
04/04/2019
Last updated
11/20/2024
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