Provider Demographics
NPI:1306538707
Name:EFOBI, PIUS CHUKWUDI
Entity type:Individual
Prefix:MR
First Name:PIUS
Middle Name:CHUKWUDI
Last Name:EFOBI
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 1:474 WESTBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-5527
Mailing Address - Country:US
Mailing Address - Phone:732-841-5530
Mailing Address - Fax:
Practice Address - Street 1:474 WESTBOURNE AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-5527
Practice Address - Country:US
Practice Address - Phone:732-841-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01465600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health