Individual
MOSES OBIDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
751 BERGEN AVE, JERSEY CITY, NJ 07306-4705
(201) 687-7167
Mailing address
PO BOX 192, WASHINGTON, NJ 07882-0192
(908) 899-1705
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15078600
NJ
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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