Individual
UGOCHUKWU UKONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 E BERGEN PL STE 302, RED BANK, NJ 07701
(732) 219-6620
(732) 219-6225
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(312) 778-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10071500
NJ
207Q00000X
Family Medicine Physician
274346-224
NY
Other
Enumeration date
07/21/2014
Last updated
09/03/2021
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