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Individual

MR. JACOB OTU ENYIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
355 GRAND STREET, DEPARTMENT OF MEDICINE 1 EAST, JERSEY CITY, NJ 07302
(201) 915-2431
(201) 915-2219
Mailing address
355 GRAND STREET, DEPARTMENT OF MEDICINE 1 EAST, JERSEY CITY, NJ 07302
(201) 915-2431
(201) 915-2219

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.50983
AL

Other

Enumeration date
04/15/2022
Last updated
07/21/2025
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