Most Relevant Information
Provider Data
| NPI Number: | 1003388703 |
| Provider Name: | CECILIA EZUDUEMOIH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00888500 |
Most Important Dates
| Enumeration Date: | 12/19/2018 |
| Last Updated: | 12/29/2022 |
Provider Practice Location
1501 HAMBURG TPKE
WAYNE
NJ
074704032
Practice Location Phone/Fax
| Phone: | 8626848484 |
| Fax: |
Provider Mailing Location
1501 HAMBURG TPKE
WAYNE
NJ
074704032
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |