Healthcare Provider Details

I. General information

NPI: 1073451258
Provider Name (Legal Business Name): OJONYE CHRIS EGA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 WAVERLEY ST
FRAMINGHAM MA
01702-7059
US

IV. Provider business mailing address

16 WINTER ST APT 34C
WALTHAM MA
02451-0990
US

V. Phone/Fax

Practice location:
  • Phone: 508-661-2020
  • Fax:
Mailing address:
  • Phone: 781-869-0577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: