Individual
BOLA LADEJI-KUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 STOCKTON PL, EAST ORANGE, NJ 07017-5208
(201) 301-4388
Mailing address
79 STOCKTON PL, EAST ORANGE, NJ 07017-5208
(201) 301-4388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR12589900
NJ
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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