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Individual

DR. EZINNE UGOCHI NWOTITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8146
(609) 441-8002
Mailing address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8146
(609) 441-8002

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08775000
NJ
208M00000X
Hospitalist Physician
Primary
25MA08775000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0240923
NJ
01
25MA08775000
PHYSICIAN LICENSE
NJ
Enumeration date
06/23/2010
Last updated
07/17/2023
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