Individual
MICHELLE K OGUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1270
(718) 228-7471
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1270
(718) 228-7471
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00754900
NJ
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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