Individual
MAYOWA OLUSUNMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-4670
Mailing address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
283290
MA
2084P0800X
Psychiatry Physician
Primary
A176339
CA
Other
Enumeration date
04/11/2017
Last updated
10/28/2024
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