Individual
PHILLIPS AJIBADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 ROSS ST, NEWARK, NJ 07114-1127
(973) 393-5153
Mailing address
35 ROSS ST, NEWARK, NJ 07114-1127
(973) 393-5153
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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