Healthcare Provider Details

I. General information

NPI: 1568205789
Provider Name (Legal Business Name): MARGARET W. NJOROGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 LEOS LN
AVON MA
02322-1735
US

IV. Provider business mailing address

100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US

V. Phone/Fax

Practice location:
  • Phone: 774-240-9983
  • Fax: 774-240-9983
Mailing address:
  • Phone: 888-964-6681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN2277489
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: