Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MA072304 | NJ |
NPI | 1003065780 |
---|---|
Provider Name | Dr. Ngozi Erondu |
First Address | Millstone Township, NJ 08535-8180 |
Second Address | Millstone Township, NJ 08535-8180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 06/05/2009 |