Organization
ENIDAMMY FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE IBITOLA APN (PROPRIETOR)
(973) 493-0026
Entity
Organization
Contact information
Practice address
2177 OAK TREE RD STE 206, EDISON, NJ 08820-1082
(908) 755-4000
(908) 755-4006
Mailing address
2177 OAK TREE RD STE 206, EDISON, NJ 08820-1082
(908) 755-4000
(908) 755-4006
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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