MR. Mukhtar Fofana
NPI #1619462124 in Somerset, New Jersey
Provider Information
- NPI Number
- 1619462124
- Entity Type
- Individual
- Name
- MR. Mukhtar Fofana
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 27, 2018
- Last Updated
- Jun 27, 2018
Practice Location
- Address
- 156 HEMPSTEAD DR
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-3948
- Phone
- (732) 485-3959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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