Individual
DR. MANFRED KANU OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 MORRIS AVE STE 1, UNION, NJ 07083-3344
(908) 258-7759
(908) 469-2135
Mailing address
PO BOX 5087, HILLSIDE, NJ 07205-5087
(973) 951-0653
(908) 469-2135
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
25MA08328300
NJ
2084F0202X
Forensic Psychiatry Physician
60 251698
NY
2084P0800X
Psychiatry Physician
Primary
25MA08328300
NJ
2084P0800X
Psychiatry Physician
60 251698
NY
Other
Enumeration date
12/03/2007
Last updated
11/10/2010
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