Organization
OGORI N KALU MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DEL VECCHIO (BILLING AGENT)
(973) 687-7720
Entity
Organization
Contact information
Practice address
268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-2963
(973) 877-2824
Mailing address
609 W SOUTH ORANGE AVE APT 3C, SOUTH ORANGE, NJ 07079-1064
(646) 247-2013
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA08831300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251330
—
NJ
Enumeration date
06/13/2017
Last updated
03/17/2018
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