Individual
EBELE ILOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,APN-C
Contact information
Practice address
18 CHOCTAW RIDGE RD, BRANCHBURG, NJ 08876-5437
(732) 762-6214
Mailing address
18 CHOCTAW RIDGE RD, BRANCHBURG, NJ 08876-5437
(732) 762-6214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00506300
NJ
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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