Provider Demographics
NPI:1578277380
Name:PAUL-ILOEJE, CHIOMA (PT)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:
Last Name:PAUL-ILOEJE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-5556
Mailing Address - Country:US
Mailing Address - Phone:848-319-8471
Mailing Address - Fax:
Practice Address - Street 1:26 JANCI CT
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2914
Practice Address - Country:US
Practice Address - Phone:732-351-9056
Practice Address - Fax:732-362-4967
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02133900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist