Individual
ABISOYE M. OTUNUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 BAYARD PL, NEWARK, NJ 07106-3634
(201) 349-6816
Mailing address
240 CENTRAL AVE, EAST ORANGE, NJ 07018-3313
(201) 349-6816
(973) 414-6730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01349400
NJ
Other
Enumeration date
10/24/2022
Last updated
03/11/2025
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