Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00799400 | NJ |
NPI | 1023502705 |
---|---|
Provider Name | Miss Adaugo Oriji |
First Address | East Orange, NJ 07018-1258 |
Second Address | East Orange, NJ 07018-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2018 |
Last Update Date | 18/06/2018 |