Individual
OLUFISAYO A OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
123 CARNEGIE PL, VAUXHALL, NJ 07088-1408
(862) 220-1881
Mailing address
123 CARNEGIE PL, VAUXHALL, NJ 07088-1408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01337400
NJ
Other
Enumeration date
04/26/2011
Last updated
07/23/2022
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