Provider Demographics
NPI:1437653664
Name:MANU, JOANITTA MAWUNYO (MD)
Entity Type:Individual
Prefix:
First Name:JOANITTA
Middle Name:MAWUNYO
Last Name:MANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANITTA
Other - Middle Name:MAWUNYO
Other - Last Name:ABOTSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2000
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11227500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine