Doctor Name: | MR. ANTHONY A ADEYINKA |
NPI Number: | 1023409117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 26NJ00534200 |
Business Practice Address: | Harborside Financial Center, Plaza 10 Suite 803 Jersey City, NJ - 07311 |
Business Phone Number: | 9732024290 |
Business Fax Number: | 9737624140 |
Mailing Address: | 54 Fernwood Rd, MAPLEWOOD |
State: | NJ |
Postal Code: | 070401622 |
Phone Number: | 9732024290 |
Fax Number: | 9737624140 |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00534200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |