Individual
DR. ADAEZE NNEKA IBEABUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG 6, 2ND FL, PARAMUS, NJ 07652-4142
(201) 225-4700
(201) 225-4702
Mailing address
PO BOX 157, FRANKLIN LAKES, NJ 07417-0157
(201) 967-8425
(201) 263-4665
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
242605
NY
207RN0300X
Nephrology Physician
Primary
25MA08621600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409871
—
NJ
Enumeration date
02/17/2010
Last updated
04/14/2016
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