Individual
NMANDU O UTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
60 EVERGREEN PLACE, SUITE 400, EAST ORANGE, NJ 07018
(973) 395-1550
(973) 395-1556
Mailing address
21 EDGEWOOD ROAD, SUMMIT, NJ 07901
(973) 395-1550
(973) 395-1556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00836500
NJ
363LF0000X
Family Nurse Practitioner
F340091-1
NY
Other
Enumeration date
04/05/2018
Last updated
08/26/2020
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