Individual
DR. CHINWE H OGEDEGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CENTRAL AVENUE, EAST ORANGE, NJ 07018-2897
(973) 672-8400
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
25MA06434900
NJ
208D00000X
General Practice Physician
25MA06434900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7255403
—
NJ
Enumeration date
09/07/2005
Last updated
02/01/2008
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