Individual
DR. EPHREM ODOY OLWENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 METRO BLVD, CLIFTON, NJ 07014
(973) 230-6666
(973) 230-6686
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA09055000
NJ
208800000X
Urology Physician
A95265
CA
208800000X
Urology Physician
N6549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302872
—
NJ
01
—
P01117743
RAILROAD MEDICARE
NJ
Enumeration date
12/23/2007
Last updated
12/02/2025
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