Individual
DR. ANTHONY IJEHSEDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSN, NP-C
Contact information
Practice address
12 KROTIK PLACE, IRVINGTON, NJ 07111
(973) 373-3000
Mailing address
318 PERRY AVENUE, UNION, NJ 07083
(908) 247-6095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00736800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00736800
NJ
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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