Individual
OLOLADE OMOLOLA BAMIGBE X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 JULIAN TER, UNION, NJ 07083-5549
(908) 244-3686
Mailing address
1575 JULIAN TER, UNION, NJ 07083-5549
(908) 244-3686
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025008456
NJ
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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