Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MUKHTAR FOFANA
Active Sole ProprietorMR. MUKHTAR FOFANA is a Psychiatric Residential Treatment Facility healthcare provider located in SOMERSET, New Jersey. NPI 1619462124 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · SOMERSET, NJ
Registration Details
- NPI Number
- 1619462124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2018 (8.1658847459907 yrs)
- Last Updated
- Jun 27, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 HEMPSTEAD DRSOMERSET, NJ, 088733948Browse NJ providers · Browse ZIP 08873
- Phone
- 7324853959
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.