Individual
DR. ODON MAKONKO NSUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-48133
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2020
Last updated
09/05/2023
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