Individual
MALCOLM EKPENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2173 KAY AVE, UNION, NJ 07083-5266
(973) 634-0947
Mailing address
2173 KAY AVE, UNION, NJ 07083-5266
(973) 634-0947
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15351800
NJ
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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