| Hoperestoredmd Llc | |
|
132 Main Street Princeton NJ 08540 | |
| (609) 336-5352 | |
| Not Available |
| Full Name | Hoperestoredmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 132 Main Street, Princeton, New Jersey |
| Authorized Official Name and Position | Kafilat Y Ojo (OWNER/ CEO) |
| Authorized Official Contact | 7328017434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoperestoredmd Llc 132 Main Street Princeton NJ 08540 Ph: (609) 633-6535 | Hoperestoredmd Llc 132 Main Street Princeton NJ 08540 Ph: (609) 336-5352 |
| NPI Number | 1790500775 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Medicare PECOS PAC ID | 9234668427 |
|---|---|
| Medicare Enrollment ID | O20250203001696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790500775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kafilat Y Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083020119 PECOS PAC ID: 7416280946 Enrollment ID: I20200701001815 |
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