Organization
MAXICARE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWATOSIN O OLUNUGA (APN)
(973) 409-1406
Entity
Organization
Contact information
Practice address
112 LEHIGH AVE, NEWARK, NJ 07112-2036
(073) 409-1406
Mailing address
112 LEHIGH AVE, NEWARK, NJ 07112-2036
(073) 409-1406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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