Mayowa Olusunmade
Psychiatry & Neurology, Psychiatry in Newark, NJ. Individual provider (NPI-1).
NPI number1982138434
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1982138434
- Entity type
- Individual (NPI-1)
- Name
- Mayowa Olusunmade
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A176339 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 283290 | MA |
Practice location
183 S Orange AveNewark, NJ 07103-2757
Phone 973-972-4670
Mailing address
183 S Orange AveNewark, NJ 07103-2757
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