| NPI | 1528694700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY OGIGI OYEM Nurse Practioner 973-901-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |