Organization
OFMEME
Active
Other names
OFMEME
Organization subpart
No
Provider details
NPI number
Authorized official
UBONG UDOFIA PMHNP-BC (APN)
(862) 452-8987
Entity
Organization
Contact information
Practice address
76 LOWELL AVE, WEST ORANGE, NJ 07052-3710
(865) 452-8987
Mailing address
76 LOWELL AVE, WEST ORANGE, NJ 07052-3710
(865) 452-8987
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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