Individual
DR. NKECHINYERE ANGELA OBIEFUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1920 FOREST HAVEN BLVD, EDISON, NJ 08817-6316
(732) 710-1214
Mailing address
1920 FOREST HAVEN BLVD, EDISON, NJ 08817-6316
(732) 710-1214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76919
GA
208M00000X
Hospitalist Physician
25MA08456700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209155
—
NJ
01
—
P00768133
RAILROAD MEDICARE
NJ
Enumeration date
08/11/2008
Last updated
12/02/2019
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