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NPI Code Detail

MEDICARE: JOHNCROSS CHIDUBEM NWADIJE

MEDICARE: JOHNCROSS CHIDUBEM NWADIJE
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
11223G0001XGeneral Practice DentistryDGD.11493.GDSC

General Provider Information

NPI Number : 1811726904
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNCROSS CHIDUBEM NWADIJE
Provider Business Mailing Address
First Line : 345 E 24TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10010-4020
Country : US
Telephone Number : 212-998-9800
Fax Number :
Provider Business Practice Location Address
First Line : 345 E 24TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10010-4020
Country : US
Telephone Number : 212-998-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 06/09/2026

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Directions to “ JOHNCROSS CHIDUBEM NWADIJE ” Practice Location

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