Organization
WESTBURY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIKA OGUGHA MD (PRESIDENT)
(718) 258-7700
Entity
Organization
Contact information
Practice address
1915 OCEAN AVE, BROOKLYN, NY 11230-6801
(718) 258-7700
Mailing address
11 MELRICK CT, WESTBURY, NY 11590-2425
(718) 258-7700
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02083269
—
NY
Enumeration date
09/19/2007
Last updated
05/06/2008
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