Individual
MR. OBIOMA GODSWILL ATUFUNWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 E POST RD, WHITE PLAINS, NY 10601-4607
(914) 681-0600
Mailing address
66 W GILBERT ST STE 100, TINTON FALLS, NJ 07701-4948
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020499
NY
363AM0700X
Medical Physician Assistant
Primary
MA057503
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003209396
—
NY
Enumeration date
03/10/2015
Last updated
01/16/2021
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