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Individual

MICHAEL ENWERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901
(908) 522-2000
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR17751600
NJ

Other

Enumeration date
01/31/2021
Last updated
04/05/2021
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