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NPI Code Detail

MEDICARE: EDITH OJO

MEDICARE: EDITH OJO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse655582NY

General Provider Information

NPI Number : 1053669507
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH OJO
Provider Business Mailing Address
First Line : 322 E 148TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5707
Country : US
Telephone Number : 917-254-8111
Fax Number :
Provider Business Practice Location Address
First Line : 322 E 148TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5707
Country : US
Telephone Number : 917-254-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/15/2012

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Directions to “ EDITH OJO ” Practice Location

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