Individual
MR. WILLIAM FONCHAM NGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-PMHNP
Contact information
Practice address
1100 LIBERTY PL, SICKLERVILLE, NJ 08081-5708
(856) 981-2891
Mailing address
1100 LIBERTY PL, SICKLERVILLE, NJ 08081-5708
(856) 981-2891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001203
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00769100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1U9122
—
DE
Enumeration date
12/19/2017
Last updated
10/27/2025
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