| Doctor Name: | OBI J IMEGWU |
| NPI Number: | 1043261001 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MAO6965500 |
| Business Practice Address: | 30 Rehill Avenue Suite 3400 Somerville, NJ - 088762500 |
| Business Phone Number: | 9087252400 |
| Business Fax Number: | 9089278990 |
| Mailing Address: | 30 Rehill Avenue, Suite 3400 SOMERVILLE |
| State: | NJ |
| Postal Code: | 088762500 |
| Phone Number: | 9087252400 |
| Fax Number: | 9089278990 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MAO6965500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |