Individual
DR. IHUOMA N NWACHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 JEFFERSON STREET, NEWARK, NJ 07105-1706
(973) 589-1300
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06248800
NJ
207R00000X
Internal Medicine Physician
25MA06248800
NJ
208D00000X
General Practice Physician
25MA06248800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000040103
AMERICHOICE
NJ
05
—
6948308
—
NJ
01
—
P00652890
RAILROAD MEDICARE
NJ
Enumeration date
09/07/2005
Last updated
01/29/2009
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