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Omowunmi Fakorede, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1972206522

Omowunmi Fakorede is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Omowunmi Fakorede practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Omowunmi Fakorede is 1972206522 and holds a License No. (New Jersey).

The current practice location address for Omowunmi Fakorede is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 976-926-3233.

Location: 201 Lyons Ave, Newark, NJ, 07112-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972206522
Provider Name
Omowunmi Fakorede
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ, 07112-2027
Phone Number
976-926-3233
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
976-926-3233
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
976-926-3233
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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