Organization
NWANKWO G MEDICAL SERVICES LLC
Active
Other names
NWANKWO G MEDICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA O NWANKWO DO (OWNER/PHYSICIAN)
(973) 416-4111
Entity
Organization
Contact information
Practice address
22 UNION AVE STE 105, IRVINGTON, NJ 07111-5574
(973) 416-1111
(973) 416-4133
Mailing address
22 UNION AVE, IRVINGTON, NJ 07111-5574
(973) 416-1111
(973) 416-4133
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8638900
—
NJ
Enumeration date
05/03/2012
Last updated
11/17/2022
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