Grace Medical Consult
NPI #1104370915 in Irvington, New Jersey
Provider Information
- NPI Number
- 1104370915
- Entity Type
- Organization
- Organization Name
- Grace Medical Consult
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 9, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 40 UNION AVE
- Address 2
- 3RD FL. STE 301
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-3277
- Phone
- (973) 996-2170
Authorized Official
- Name
- MR. ADEWALE ADEFOWOJU, MSN, APN, PMHNP-BC
- Title
- MEDICAL DIRECTOR
- Phone
- (908) 693-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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