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NPI Code Detail

MEDICARE: EMMANUEL OMINI

MEDICARE:   EMMANUEL  OMINI
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1124480728
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL OMINI
Provider Business Mailing Address
First Line : 111 ARBOR MEADOW DR
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 ARBOR MEADOW DR
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1758
Country : US
Telephone Number : 609-704-9231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 03/23/2016

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Directions to “ EMMANUEL OMINI ” Practice Location

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