MEDICARE: MRS. ANITA E DAGADU-OGOE APN

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	363LF0000X	Family Nurse Practitioner	26NJ01057200	NJ

General Provider Information

NPI Number	:	1467048728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANITA E DAGADU-OGOE APN

Provider Business Mailing Address
First Line	:	222 NORTH AVE W
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-1495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 NORTH AVE W
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-1495
Country	:	US
Telephone Number	:	908-928-1000
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	02/01/2023

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