MEDICARE: BLESSING C UCHEYA 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	207R00000X	Internal Medicine Physician	25MA08623400	NJ
2	208M00000X	Hospitalist Physician	25MA08623400	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01299924	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649415472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLESSING C UCHEYA MD

Provider Business Mailing Address
First Line	:	18 E LAUREL RD
Second Line	:	KENNEDY HEALTH SYSTEM
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1327
Country	:	US
Telephone Number	:	856-566-6845
Fax Number	:	856-566-6906

Provider Business Practice Location Address
First Line	:	3750 N HENRY BLVD
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-3936
Country	:	US
Telephone Number	:	470-531-5713
Fax Number	:

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

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	10/15/2024

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Directions to “ BLESSING C UCHEYA MD” Practice Location

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