Ogonna Agu
Early Intervention Provider Agency in Newark, NJ. Individual provider (NPI-1).
NPI number1881060382
StatusActive
Last updated in NPPESAug 19, 2015
Details
- NPI
- 1881060382
- Entity type
- Individual (NPI-1)
- Name
- Ogonna Agu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2015
- Last updated
- Aug 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
555 Mount Prospect AveApt 11a
Newark, NJ 07104-1535
Phone 212-731-9602
Mailing address
555 Mount Prospect AveApt 11a
Newark, NJ 07104-1535
Phone 212-731-9602
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