Provider Demographics
NPI:1891540217
Name:EJEAGHA, FRANKLIN CHINEZIMUZO (MBBS)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:CHINEZIMUZO
Last Name:EJEAGHA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 POCONO ROAD. SAINT CLARE'S HEALTH, GME OFFICE
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834
Mailing Address - Country:US
Mailing Address - Phone:973-365-4661
Mailing Address - Fax:973-365-4848
Practice Address - Street 1:25 POCONO ROAD. SAINT CLARE'S HEALTH, GME OFFICE
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-365-4661
Practice Address - Fax:973-365-4848
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program