Provider Demographics
NPI:1083832695
Name:ONUNKWO, UCHENNA CHUKWUDI
Entity Type:Individual
Prefix:MR
First Name:UCHENNA
Middle Name:CHUKWUDI
Last Name:ONUNKWO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4811
Mailing Address - Country:US
Mailing Address - Phone:609-499-2695
Mailing Address - Fax:
Practice Address - Street 1:80 CREEKWOOD DR
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4811
Practice Address - Country:US
Practice Address - Phone:609-499-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00272200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist