Idama Healthcare
NPI #1093289852 in South Orange, New Jersey
Provider Information
- NPI Number
- 1093289852
- Entity Type
- Organization
- Organization Name
- Idama Healthcare
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jan 15, 2019
- Last Updated
- May 20, 2020
Practice Location
- Address
- 4 S ORANGE AVE SUITE 253
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-1702
- Phone
- (862) 240-1615
Authorized Official
- Name
- AMACHE ONYEANI
- Title
- MANAGER
- Phone
- (908) 512-8724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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