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1417548652
MICHAEL ENWERE
SUMMIT, NJ
NPI
1417548652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ 26NR17751600)
Enumeration Date
2021-01-31
Last Update Date
2021-04-05
Business Address
MICHAEL ENWERE
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Phone number: 908-522-2000
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Mailing Address
MICHAEL ENWERE
99 BEAUVOIR AVE
SUMMIT, NJ 07901-3533
Phone number: 908-522-2000
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