Individual
ENIOLA R OMISAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 CRANBROOK RD, UNION, NJ 07083-6329
(908) 499-1634
Mailing address
1070 CRANBROOK RD, UNION, NJ 07083-6329
(908) 499-1634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01324700
NJ
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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