Organization
THE PLACE FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NWOGO NNUNWA AGBASI MD (OBETETRICIAN & GYNECOLOGIST)
(814) 558-7303
Entity
Organization
Contact information
Practice address
6601 VENTNOR AVENUE, VENTNOR, NJ 08406
(814) 558-7303
Mailing address
P O BOX 676, DOWNINGTOWN, PA 19335
(814) 558-7303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA08155300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740279744
NPI
—
Enumeration date
01/30/2015
Last updated
01/30/2015
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