Individual
MR. MICHAEL IDOWU OJELADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
67 BOBOLINK CT, WAYNE, NJ 07470-8450
(973) 953-3643
Mailing address
67 BOBOLINK CT, WAYNE, NJ 07470-8450
(973) 953-3643
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00108700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00108700
NJ
Other
Enumeration date
05/12/2011
Last updated
08/02/2024
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