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Organization

GREEN OAK PROFESSIONAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAZEEM ALAO OLAJIDE APN-C (PRESIDENT)
(973) 392-0217
Entity
Organization

Contact information

Practice address
120 MILLBURN AVE STE 201, MILLBURN, NJ 07041-1935
(973) 392-0217
Mailing address
735 S 12TH ST, NEWARK, NJ 07103-1740

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/05/2019
Last updated
09/06/2019
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