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Individual

OBINNA EZEALOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN PMHNP-BC

Contact information

Practice address
1691 US HIGHWAY 9, TOMS RIVER, NJ 08755-1245
(732) 914-1688
Mailing address
135 JEROME ST APT E, ROSELLE PARK, NJ 07204-1448
(908) 220-1714

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00760100
NJ

Other

Enumeration date
10/08/2017
Last updated
05/07/2024
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