Individual
NICHOLAUS GLADSTONE KOMLA-AZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2007 SUNNY SLOPE RD, BRIDGEWATER, NJ 08807-3607
(862) 324-1402
(908) 393-1788
Mailing address
2007 SUNNY SLOPE RD, BRIDGEWATER, NJ 08807-3607
(862) 324-1402
(908) 393-1788
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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