Individual
ERNEST AKWABOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
(877) 485-8918
Mailing address
87 BURNETT AVE, MAPLEWOOD, NJ 07040-3094
(973) 342-6323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01073500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763195
—
NJ
Enumeration date
11/04/2020
Last updated
06/19/2023
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