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Organization
NWANKWO G MEDICAL SERVICES, LLC
Active
Organization
NWANKWO G MEDICAL SERVICES, LLC
Active
Other names
NWANKWO G MEDICAL SERVICES, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA O NWANKWO (OWNER/PHYSICIAN)
(973) 416-4111
Entity
Organization
Contact information
Practice address
22 UNION AVE, IRVINGTON, NJ 07111-5574
(973) 416-4111
(973) 416-4133
Mailing address
22 UNION AVE, IRVINGTON, NJ 07111-5574
(973) 416-4111
(973) 416-4133
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MB07208100
NJ
Other
Enumeration date
05/22/2012
Last updated
11/04/2022
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