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Individual

MRS. EBELE EDITH UFONDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
941 WHITEHORSE AVENUE, SUITE 14, HAMILTON, NJ 08610
(609) 581-4800
(609) 581-9980
Mailing address
941 WHITEHORSE AVENUE, SUITE 14, HAMILTON, NJ 08610
(609) 581-4800
(609) 581-9980

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA60762
NJ
207R00000X
Internal Medicine Physician
MD052318L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223738861
BLUE CROSS BLUE SHIELD
01
2465330
AETNA HMO
05
6316102
NJ
Enumeration date
12/19/2006
Last updated
07/08/2007
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