| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHISOM C EGWUATU | 1619352614 | 2015-07-21 |
Chisom C Egwuatu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619352614. Registration indicates Chisom C Egwuatu is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Pediatrics) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics: Neonatal-Perinatal Medicine, ) (Specialist Network, ) (Pediatrics Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, ) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Pediatrics) (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics: Neonatal-Perinatal Medicine, ) (Specialist Network, ) (Pediatrics Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Chisom C Egwuatu M.D |
| Practice Office Address | 26901 76TH AVE NEW HYDE PARK, NY US |
| Practice Office Telephone | 7732576183 |
| Mailing Address | 26901 76TH AVE NEW HYDE PARK, NY 110401433 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 901 W Main St | Freehold, NJ 077282537 | 7322942878 / 7327800864 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 125066374
IL |
| 2080N0001X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Neonatal-Perinatal Medicine Specialist Network Pediatrics Neonatal-Perinatal Medicine Allopathic & Osteopathic Physicians Pediatrics | 25MA11200000
NJ |
| 2080N0001X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Neonatal-Perinatal Medicine Specialist Network Pediatrics Neonatal-Perinatal Medicine Allopathic & Osteopathic Physicians Pediatrics | 294685
NY |