Individual
EBIKABOERE EJIMOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 741-2700
Mailing address
1 RIVERVIEW PLAZA, RED BANK, NJ 07701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10087800
NJ
Other
Enumeration date
04/10/2014
Last updated
03/17/2018
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