Individual
DR. BEDE IKENNA NNOLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
953 SOUTHERN BLVD, BRONX, NY 10459-3428
(718) 589-4541
Mailing address
953 SOUTHERN BLVD, BRONX, NY 10459-3428
(910) 292-2091
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
327537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4803031
—
MI
Enumeration date
07/31/2006
Last updated
07/29/2024
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