Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 27OA00509100 | NJ |
NPI | 1003976523 |
---|---|
Provider Name | Dr. Chinwendu Nkechika Anukwuem |
First Address | Newark, NJ 07104-2503 |
Second Address | Newark, NJ 07104-2503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 16/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5344701 | (05) | NJ |
U19116 | (02) | NJ |