Individual
MR. GERALD OBAIGWA OMBASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(201) 892-6071
Mailing address
5549 BRIDLE RD, STROUDSBURG, PA 18360-9197
(201) 892-6071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029789
PA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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