Organization Name: | NWANKWO G MEDICAL SERVICES, LLC |
NPI Number: | 1316207541 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA OBIEGELI NWANKWO (PHYSICIAN) |
Mailing Address: | 40 Union Ave Suite 105 Irvington |
State: | NJ US |
Postal Code: | 071113277 |
Phone Number: | 9734164111 |
Fax Number: | 9734164133 |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 25MB07208100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |