MEDICARE: DR. NGOZI ERONDU MD

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MA072304	NJ

General Provider Information

NPI Number	:	1003065780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NGOZI ERONDU MD

Provider Business Mailing Address
First Line	:	63 BAIRD RD
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08535-8180
Country	:	US
Telephone Number	:	908-816-1233
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 BAIRD RD
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08535-8180
Country	:	US
Telephone Number	:	908-816-1233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	05/06/2009

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Directions to “ DR. NGOZI ERONDU MD” Practice Location

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