Individual provider · NPI-1

Joseph Nwabueze Ezekwem

Registered Nurse, General Practice · Staten Island, NY

NPI number1821528951
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1821528951
Entity type
Individual (NPI-1)
Name
Joseph Nwabueze Ezekwem
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 12, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice726698-1NYYes

Practice location

26 Dumont Ave
Staten Island, NY 10305-1450

Phone 908-636-3113

Mailing address

716 Field Ave # F9
Plainfield, NJ 07060-2355

Phone 908-636-3113

Other practice locations

716 Field Ave # F9
Plainfield, NJ 07060-2355

Phone 908-636-3113

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