Individual
DR. EBERE N EZEANYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 MARSHALL ST, PHILLIPSBURG, NJ 08865-2695
(609) 582-0899
Mailing address
532 CITY VIEW DR, NAZARETH, PA 18064-1244
(973) 704-5644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09219400
NJ
207Q00000X
Family Medicine Physician
MD469728
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357367
—
NJ
Enumeration date
06/05/2009
Last updated
10/31/2023
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