Healthcare Provider Details

I. General information

NPI: 1255111969
Provider Name (Legal Business Name): CHUKWUDI NWBUNWANNE ONWUAKOR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. CHUKWUDI NWABUNWANNE ONWUAKOR

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8998 NJ-18 SUITE 215
OLD BRIDGE NJ
08857
US

IV. Provider business mailing address

1060 TRUMAN HWY
HYDE PARK MA
02136-3319
US

V. Phone/Fax

Practice location:
  • Phone: 617-543-4917
  • Fax:
Mailing address:
  • Phone: 617-364-4756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00799700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: