Individual
KELECHI FIDELIS OMEONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Mailing address
225 E 95TH ST APT 6D, NEW YORK, NY 10128-4002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12029300
NJ
207R00000X
Internal Medicine Physician
332562
NY
207R00000X
Internal Medicine Physician
MD23369
ME
390200000X
Student in an Organized Health Care Education/Training Program
MT214535
PA
Other
Enumeration date
07/19/2017
Last updated
11/30/2024
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