NPI 1316207541

Nwankwo G Medical Services, LLC

Organisation Health Maintenance Organization Irvington, NJ

Practice location

Address: 22 Union Ave, Irvington, NJ 07111-5574
Phone: (973) 416-4111
Fax: (973) 416-4133

Authorised official

Name: Gloria O Nwankwo
Title: Owner/Physician
Phone: (973) 416-4111

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 25MB07208100 (NJ)

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Registry record

NPI: 1316207541
Entity type: Organization
NPI issued: 22 May 2012
Record last updated: 4 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.