Individual
EUGENE O OBIRI-YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 CARNWATH CT, EDISON, NJ 08817-1941
(718) 496-5778
Mailing address
32 CARNWATH CT, EDISON, NJ 08817-1941
(718) 496-5778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
237700000X
Hearing Instrument Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2016
Last updated
10/18/2016
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