Individual
NWOGO NNUNWA AGBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6601 VENTNOR AVE STE 14, VENTNOR CITY, NJ 08406-2172
(609) 878-8003
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(609) 878-8003
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA08155300
NJ
207V00000X
Obstetrics & Gynecology Physician
MD420965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01576129
—
NJ
Enumeration date
10/21/2005
Last updated
03/19/2021
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