Individual
MARTINA I. ANYANWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(908) 875-3859
Mailing address
1390 CORNELL PL, UNION, NJ 07083-6256
(088) 753-8599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01126500
NJ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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