Individual
DR. AKINLABI ADETAYO SANUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
262 STATE ST, PERTH AMBOY, NJ 08861-4348
(718) 818-4121
Mailing address
221 REMSEN AVE, AVENEL, NJ 07001-1215
(504) 261-6054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA09754200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/17/2013
Last updated
08/06/2020
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