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Individual

COLUMBUS NWOSU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
603 LIBERTY PL, SICKLERVILLE, NJ 08081-5700
(856) 818-9666
(856) 818-9666
Mailing address
603 LIBERTY PL, SICKLERVILLE, NJ 08081-5700
(856) 818-9666
(856) 818-9666

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

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