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1386915387
OMADESALA PSYCHIATRIC SERVICES, LLC
SOUTH PLAINFIELD, NJ
NPI
1386915387
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Entity Type
Organization
Authorized Contact
JOHN D VO
Owner
212-365-0448
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
OMADESALA PSYCHIATRIC SERVICES, LLC
285 DURHAM AVE STE 2A BUILDING 6
SOUTH PLAINFIELD, NJ 07080-2546
Phone number: 908-548-8533
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Mailing Address
OMADESALA PSYCHIATRIC SERVICES, LLC
PO BOX 9
ROOSEVELT, NJ 08555-0009
Phone number: 609-301-5089
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