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NPI Code Detail

MEDICARE: ADAEZE UCHEAGWU

MEDICARE: ADAEZE UCHEAGWU
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 : 1174486062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAEZE UCHEAGWU
Provider Business Mailing Address
First Line : 95 MARTIN LUTHER KING JR DR
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-3025
Country : US
Telephone Number : 201-332-7077
Fax Number : 201-332-7003
Provider Business Practice Location Address
First Line : 95 MARTIN LUTHER KING JR DR
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-3025
Country : US
Telephone Number : 201-332-7077
Fax Number : 201-332-7003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ADAEZE UCHEAGWU ” Practice Location

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