Provider Demographics
NPI:1699906602
Name:NWAKPUDA, SIDDON UGOCHUKWU (MD)
Entity type:Individual
Prefix:DR
First Name:SIDDON
Middle Name:UGOCHUKWU
Last Name:NWAKPUDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 MORRIS AVE APT 145
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6071
Mailing Address - Country:US
Mailing Address - Phone:201-640-9799
Mailing Address - Fax:
Practice Address - Street 1:2075 MORRIS AVE APT 145
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6071
Practice Address - Country:US
Practice Address - Phone:201-640-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program