Individual
ADEDOYIN T KOLAWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
485C US HIGHWAY 1 S STE 100-101, ISELIN, NJ 08830-3037
(732) 447-9470
(732) 790-8133
Mailing address
801 ROUTE 1 # 1029, ISELIN, NJ 08830-2609
(732) 447-9470
(732) 790-8133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18320000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01473800
NJ
Other
Enumeration date
02/20/2023
Last updated
12/02/2024
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