Individual
MRS. GEORGIA EZINNE CHIJIOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
940 CEDAR BRIDGE AVE, BRICK, NJ 08723-4170
(732) 475-6152
(732) 475-6172
Mailing address
39 HOLLAND ST, NEWARK, NJ 07103-2010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00828800
NJ
Other
Enumeration date
04/02/2012
Last updated
05/15/2020
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