Individual provider · Type 1 NPI

Omowunmi Fakorede, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1972206522 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Call (976) 926-3233 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972206522

Omowunmi Fakorede, MD's National Provider Identifier is 1972206522, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Mar 23, 2023.