Provider Demographics
NPI:1356120869
Name:NJOKU, JEROME (MEDICAL IMAGING)
Entity type:Individual
Prefix:DR
First Name:JEROME
Middle Name:
Last Name:NJOKU
Suffix:
Gender:M
Credentials:MEDICAL IMAGING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-1000
Mailing Address - Country:US
Mailing Address - Phone:609-456-2620
Mailing Address - Fax:
Practice Address - Street 1:104 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518-1000
Practice Address - Country:US
Practice Address - Phone:609-456-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ259788246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist