Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD431640 | PA |
Y | 207VG0400X | Gynecologist | 25MA08608200 | NJ |
NPI | 1154530301 |
---|---|
Provider Name | Adebola Nnewihe |
First Address | Egg Harbor Township, NJ 08234-7250 |
Second Address | Northfield, NJ 08225-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 28/12/2017 |