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NPI Code Detail

MEDICARE: MADUKA NNADOZIE

MEDICARE: MADUKA NNADOZIE
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
1208D00000XGeneral Practice Physician1356911945NJ
2207Q00000XFamily Medicine Physician0101287238VA

General Provider Information

NPI Number : 1356911945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADUKA NNADOZIE
Provider Business Mailing Address
First Line : 2015 PACIFIC AVE
Second Line :
City : ATLANTIC CITY
State : NJ
Zip : 08401-6726
Country : US
Telephone Number : 609-441-8194
Fax Number :
Provider Business Practice Location Address
First Line : 2015 PACIFIC AVE
Second Line :
City : ATLANTIC CITY
State : NJ
Zip : 08401-6726
Country : US
Telephone Number : 609-441-8194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 05/18/2026

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Directions to “ MADUKA NNADOZIE ” Practice Location

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