Individual
DR. CHINWEIKE IZEOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 S LIVINGSTON AVE STE 1, LIVINGSTON, NJ 07039-3986
(973) 533-0954
(973) 533-0958
Mailing address
290 S LIVINGSTON AVE STE 1, LIVINGSTON, NJ 07039-3986
(973) 533-0954
(973) 533-0958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08075700
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
235169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235169
NEW YORK STATE OFFICE OF THE PROFESSIONS
NY
Enumeration date
07/27/2006
Last updated
07/13/2022
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