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NPI Code Detail

MEDICARE: EBUBE JON-EMEFIEH

MEDICARE: EBUBE JON-EMEFIEH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ01471400NJ

General Provider Information

NPI Number : 1790474526
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBUBE JON-EMEFIEH
Provider Business Mailing Address
First Line : 615 HOPE RD STE 3B
Second Line :
City : EATONTOWN
State : NJ
Zip : 07724-1273
Country : US
Telephone Number : 732-724-1234
Fax Number : 732-532-0801
Provider Business Practice Location Address
First Line : 615 HOPE RD STE 3B
Second Line :
City : EATONTOWN
State : NJ
Zip : 07724-1273
Country : US
Telephone Number : 732-724-1234
Fax Number : 732-532-0801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 05/07/2026

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Directions to “ EBUBE JON-EMEFIEH ” Practice Location

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