Organization
IDAMA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMACHE ONYEANI (MANAGER)
(908) 512-8724
Entity
Organization
Contact information
Practice address
4 S ORANGE AVE SUITE 253, SOUTH ORANGE, NJ 07079-1702
(862) 240-1615
(862) 367-8367
Mailing address
4 S ORANGE AVE # 253, SOUTH ORANGE, NJ 07079-1702
(862) 240-1615
(862) 367-8367
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
05/20/2020
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