| Doctor Name: | FEHINTOLA OGUNSAKIN |
| NPI Number: | 1134526759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, APN, FNP-C |
| License Number: | 26NJ00536600 |
| Business Practice Address: | 146 State Route 34 Ste 275 Holmdel, NJ - 077332419 |
| Business Phone Number: | 7324441058 |
| Business Fax Number: | 7323720467 |
| Mailing Address: | 7 Selma Ln, HAZLET |
| State: | NJ |
| Postal Code: | 077302475 |
| Phone Number: | 7329395885 |
| Fax Number: | 7329395885 |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00536600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |