Impact Medical LLC
NPI #1336417476 in Clementon, New Jersey
Provider Information
- NPI Number
- 1336417476
- Entity Type
- Organization
- Organization Name
- Impact Medical LLC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Dec 4, 2011
- Last Updated
- Dec 4, 2011
Practice Location
- Address
- 244 AMAN AVE
- City
- Clementon
- State
- New Jersey
- ZIP Code
- 08021-2502
- Phone
- (267) 474-1355
Authorized Official
- Name
- IHUOMA OTTIH, NP
- Title
- APN-C/ OWNER
- Phone
- (267) 474-1355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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