Individual
EBERECHI NWAOBASI-IWUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, DEPT OF PEDIATRICS, SUMMIT, NJ 07901-3533
(908) 522-5870
(908) 522-4066
Mailing address
99 BEAUVOIR AVE, DEPT OF PEDIATRICS, SUMMIT, NJ 07901-3533
(908) 522-5870
(908) 522-4066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA074979
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039632
—
NJ
Enumeration date
10/26/2006
Last updated
09/24/2008
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