Healthcare Provider Details

I. General information

NPI: 1760620207
Provider Name (Legal Business Name): MEDIKHELP CONSULTANCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N HADDON AVE
HADDONFIELD NJ
08033-2306
US

IV. Provider business mailing address

30 OLD STEVENS LN
VOORHEES NJ
08043-3430
US

V. Phone/Fax

Practice location:
  • Phone: 267-918-9672
  • Fax:
Mailing address:
  • Phone: 267-918-9672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number25MA08297200
License Number StateNJ

VIII. Authorized Official

Name: DR. BABATUNDE A ADETUNJI
Title or Position: CLINICAL & FORENSIC PSYCHIATRIST
Credential: MD, MA, MS
Phone: 267-918-9672