Individual
CORA O OGBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 GILL LN, ISELIN, NJ 08830-3001
(732) 404-1580
(732) 404-1594
Mailing address
400 GILL LN, ISELIN, NJ 08830-3001
(732) 404-1580
(732) 404-1594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07727300
NJ
207RN0300X
Nephrology Physician
Primary
324972
NY
Other
Enumeration date
07/01/2005
Last updated
09/18/2024
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