IndividualActive
Ileola Allen-Jamison
NPI 1457107906 · Developmental Disabilities Clinic/Center · Newark, NJ
Provider details
- NPI number
- 1457107906
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 22DP00585400 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Practice location
109-119 Broad St #308
Newark, NJ 07104
Phone: (973) 841-3961
Approximate (ZIP-level) locationGet directions
Mailing address
109-119 Broad St #308
Newark, NJ 07104
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.