Provider Demographics
NPI:1376357194
Name:BRIGHT GENERATION UNITY HEALTHCARE
Entity type:Organization
Organization Name:BRIGHT GENERATION UNITY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M D
Authorized Official - Prefix:
Authorized Official - First Name:EROKPAIDAMWEN
Authorized Official - Middle Name:LOVETH
Authorized Official - Last Name:EGUAVOEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-438-4765
Mailing Address - Street 1:320 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2312
Mailing Address - Country:US
Mailing Address - Phone:862-438-4765
Mailing Address - Fax:
Practice Address - Street 1:320 S 7TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2312
Practice Address - Country:US
Practice Address - Phone:862-438-4765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health