Nwankwo, Gloria O

Nwankwo, Gloria O is an individual health care provider with primary practice located at 155 Jefferson Street , Newark NJ 07105-1706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Nwankwo, Gloria O can be contacted via phone (973) 589-1300.

Contact Information

Primary practice address
155 Jefferson Street Newark NJ 07105-1706
Phone: (973) 589-1300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB07208100 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB07208100 New Jersey

Profile Details

NPI number 1134113939
LBN Legal business name Nwankwo, Gloria O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134113939 NPPES
New Jersey MEDICAID 8638900
New Jersey Other P00411620

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