Organization
LENOX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOLA FADIPE DNP (OWNER)
(732) 686-6030
Entity
Organization
Contact information
Practice address
1600 SAINT GEORGES AVE STE 111, RAHWAY, NJ 07065-2713
(732) 686-6030
(732) 453-6171
Mailing address
1600 SAINT GEORGES AVE STE 111, RAHWAY, NJ 07065-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00468500
NJ
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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