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Individual

MICHAEL AJAYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, NP

Contact information

Practice address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 983-3900
(856) 797-4785
Mailing address
765 ROUTE 70 E BLDG A100, MARLTON, NJ 08053-2341
(856) 983-3900
(856) 797-4785

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
30 305107
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01081000
NJ

Other

Enumeration date
11/18/2009
Last updated
03/11/2022
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