Provider Demographics
NPI:1982238937
Name:ONUJIOGU, CHIBUZOR
Entity Type:Individual
Prefix:
First Name:CHIBUZOR
Middle Name:
Last Name:ONUJIOGU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MASON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-2401
Mailing Address - Country:US
Mailing Address - Phone:774-319-1335
Mailing Address - Fax:
Practice Address - Street 1:25 MASON ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-2401
Practice Address - Country:US
Practice Address - Phone:774-319-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2291852163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine