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Individual

AMESIKA N NYAKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., M.S.

Contact information

Practice address
150 BERGEN ST, D LEVEL, NEWARK, NJ 07103-2496
(973) 972-5111
(973) 972-3102
Mailing address
150 BERGEN ST, D LEVEL, NEWARK, NJ 07103-2496
(973) 972-5111
(973) 972-3102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09952700
NJ
207RI0200X
Infectious Disease Physician
25MA09952700
NJ

Other

Enumeration date
06/18/2010
Last updated
02/15/2022
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