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NPI Code Detail

MEDICARE: HELEN C IMO-BALOGUN

MEDICARE:   HELEN C IMO-BALOGUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse26NR17740800NJ

General Provider Information

NPI Number : 1366373599
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN C IMO-BALOGUN
Provider Business Mailing Address
First Line : 1425 ARSDALE TER
Second Line :
City : UNION
State : NJ
Zip : 07083-4789
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1425 ARSDALE TER
Second Line :
City : UNION
State : NJ
Zip : 07083-4789
Country : US
Telephone Number : 908-656-1923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ HELEN C IMO-BALOGUN ” Practice Location

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