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BIANCA EZENWANYI MEKOBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15082600
NJ
363LW0102X
Women's Health Nurse Practitioner
F421754-01
NY

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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