Individual provider · NPI-1

David Adekanye

Student in an Organized Health Care Education/Training Program · New Brunswick, NJ

NPI number1235712175
StatusActive
Last updated in NPPESApr 29, 2021

Details

NPI
1235712175
Entity type
Individual (NPI-1)
Name
David Adekanye
Sex
Male
Sole proprietor
No
Enumeration date
Apr 29, 2021
Certification date
Apr 29, 2021
Last updated
Apr 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

125 Paterson St
New Brunswick, NJ 08901-1962

Phone 732-235-6200

Mailing address

675 Hoes Ln W
Piscataway, NJ 08854-8021

Phone 732-235-6200

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