Individual
NNAMDI IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
16 LEXINGTON DR, PISCATAWAY, NJ 08854-2850
(973) 449-2867
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14966900
NJ
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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