Individual
KENNETH MADUEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 KINGS CT, WOODBRIDGE, NJ 07095
(862) 235-8270
Mailing address
404 KINGS CT, WOODBRIDGE, NJ 07095-3860
(862) 235-8270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00713300
NJ
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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