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NPI Code Detail

MEDICARE: PHILIP OFOSU-MENSAH NP

MEDICARE: PHILIP OFOSU-MENSAH NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00922100NJ

General Provider Information

NPI Number : 1538725288
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP OFOSU-MENSAH NP
Provider Business Mailing Address
First Line : 6 SUNNYSIDE RD
Second Line :
City : WEST ORANGE
State : NJ
Zip : 07052-2032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 POMPTON AVE STE 101
Second Line :
City : VERONA
State : NJ
Zip : 07044-2938
Country : US
Telephone Number : 201-932-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2019
Last Update Date : 09/26/2022

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