Organization
PARKSIDE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBASI A. CHUKWUNENYE M.D. (PRESIDENT)
(609) 882-5200
Entity
Organization
Contact information
Practice address
1450 PARKSIDE AVE, STE 23, EWING, NJ 08638-2946
(609) 882-5200
(609) 882-0370
Mailing address
1450 PARKSIDE AVE, STE 23, EWING, NJ 08638-2946
(609) 882-5200
(609) 882-0370
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2005
Last updated
09/12/2007
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