Individual
EMMANUEL NEBECHUKWU EKULIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 PROGRESS STREET, SUBURBAN TREATMENT ASSOCIATES, UNION, NJ 07083
(908) 687-7188
(908) 687-0294
Mailing address
626 VARSITY ROAD, SOUTH ORANGE, NJ 07079-2652
(973) 762-6311
(973) 327-4601
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
25MA03447200
NJ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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