Individual
MR. GABRIEL OBI OZONUWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, DC, MSACN
Contact information
Practice address
1254 S BROAD ST, TRENTON, NJ 08610-6256
(609) 212-4404
Mailing address
6 SANDCASTLE CT, JACKSON, NJ 08527-5341
(732) 986-3893
(732) 961-6854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00019100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5723L34971
NPI 1669404687
NJ
Enumeration date
07/07/2006
Last updated
07/24/2023
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