Healthcare Provider Details

I. General information

NPI: 1366389827
Provider Name (Legal Business Name): JECT HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7917 WISE AVE
DUNDALK MD
21222-3342
US

IV. Provider business mailing address

7917 WISE AVE
DUNDALK MD
21222-3342
US

V. Phone/Fax

Practice location:
  • Phone: 518-312-4705
  • Fax:
Mailing address:
  • Phone: 518-312-4705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TONYE OGECHI ELUCHIE
Title or Position: OWNER
Credential: MD
Phone: 518-312-4705