Individual
DR. UDOKA JEREMIAH EJIOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., MSN, PMHNP.
Contact information
Practice address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(862) 233-2133
Mailing address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(862) 233-2133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00374300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401462-1
NY
Other
Enumeration date
06/03/2012
Last updated
09/16/2024
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