Provider Demographics
NPI:1538960471
Name:AFRA HEALTH - NEW JERSEY
Entity type:Organization
Organization Name:AFRA HEALTH - NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:GODFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:EYIAH-MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-707-2372
Mailing Address - Street 1:301 E MACDADE BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-2622
Mailing Address - Country:US
Mailing Address - Phone:888-707-2372
Mailing Address - Fax:888-919-6863
Practice Address - Street 1:1717 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3448
Practice Address - Country:US
Practice Address - Phone:888-707-2372
Practice Address - Fax:888-919-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty