Individual
THOMAS OBOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 GLENWOOD AVENUE, EAST ORANGE, NJ 07017
(862) 235-7256
Mailing address
16 14TH AVE, NEWARK, NJ 07103-3032
(862) 235-7556
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0352900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920356930
MEDICARE
NJ
05
—
920356930
—
NJ
Enumeration date
08/31/2023
Last updated
01/03/2024
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