Ahazie, Bolanle

Ahazie, Bolanle is an individual health care provider with primary practice located at 50 Henry St , Port Reading NJ 07064-1016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ahazie, Bolanle can be contacted via phone (732) 896-1131.

Contact Information

Primary practice address
50 Henry St Port Reading NJ 07064-1016
Phone: (732) 896-1131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01106700 New Jersey

Profile Details

NPI number 1346831716
LBN Legal business name Ahazie, Bolanle
Credentials PMHNP (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2021
Last updated Jan 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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