Individual
CHARLES CHIKWADO EZEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1084 BROAD ST, NEWARK, NJ 07102-2320
(973) 733-2866
Mailing address
71 WOODBRIDGE TER APT K, WOODBRIDGE, NJ 07095-4243
(646) 238-0997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18625
MD
183500000X
Pharmacist
Primary
28R103335200
NJ
183500000X
Pharmacist
5302037725
MI
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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