Most Relevant Information
Provider Data
| NPI Number: | 1003551540 |
| Provider Name: | EDAMWEN EWEKA MD, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2022 |
| Last Updated: | 04/29/2022 |
Provider Practice Location
99 HIGHWAY 37 W
TOMS RIVER
NJ
087556423
Practice Location Phone/Fax
| Phone: | 7325572604 |
| Fax: |
Provider Mailing Location
99 HIGHWAY 37 W
TOMS RIVER
NJ
087556423
Provider Mailing Phone/Fax
| Phone: | 7325572604 |
| Fax: |