Individual
ADEDOYIN HEZEKIAH ASIMOLOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 STUYVESANT AVE, IRVINGTON, NJ 07111-1822
(908) 370-7546
Mailing address
1957 LONG TER, UNION, NJ 07083-5406
(908) 370-7546
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01468900
NJ
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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