Search › New Jersey › 207R00000X
Lisa Ezegbu, MD
NPI 1508419292 · on the registry since 2019
Practice
- Address
- 2015 Pacific Ave
Atlantic City, NJ 08401 - Phone
- (609) 449-4391
- Organisation at this address
- Premise Health Of New Jersey Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey