Individual
OBI J IMEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 REHILL AVENUE, SUITE 3400, SOMERVILLE, NJ 08876-2500
(908) 725-2400
(908) 927-8990
Mailing address
30 REHILL AVENUE, SUITE 3400, SOMERVILLE, NJ 08876-2500
(908) 725-2400
(908) 927-8990
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA06938100
NJ
2086S0129X
Vascular Surgery Physician
MAO6965500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500304
—
NJ
Enumeration date
05/15/2006
Last updated
11/13/2012
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