Individual
FRANK IGIEBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 LARK DR, SOUTH RIVER, NJ 08882-2605
(917) 449-8183
Mailing address
27 LARK DR, SOUTH RIVER, NJ 08882-2605
(917) 449-8183
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
I30872670007692
NJ
Other
Enumeration date
06/02/2020
Last updated
08/19/2022
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