NPI | 1952541963 |
---|---|
Other Name | IWUOZO OBILO |
Entity Type | Organization |
Authorized Contact | IWUOZO L. OBILO President 973-942-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 25MA07018500) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2009-03-03 |