| Tabanaku | |
|
39 Tynemouth Dr Lumberton NJ 08048-5801 | |
| (732) 423-5025 | |
| Not Available |
| Full Name | Tabanaku |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39 Tynemouth Dr, Lumberton, New Jersey |
| Authorized Official Name and Position | Thomas Deremi Adeniyi (OWNER) |
| Authorized Official Contact | 7324235025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabanaku 39 Tynemouth Dr Lumberton NJ 08048-5801 Ph: (732) 423-5025 | Tabanaku 39 Tynemouth Dr Lumberton NJ 08048-5801 Ph: (732) 423-5025 |
| NPI Number | 1548023849 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548023849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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