Individual
EBENEZER ONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611
(484) 628-5455
Mailing address
121 DEKALB AVE # 19, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD461475
PA
208M00000X
Hospitalist Physician
62924
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/27/2014
Last updated
08/10/2018
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