Healthcare Provider Details

I. General information

NPI: 1013619311
Provider Name (Legal Business Name): ALDRIGE NANA AWUKU MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 DRAPER AVE
NORTH ATTLEBORO MA
02760-3670
US

IV. Provider business mailing address

170 DRAPER AVE
NORTH ATTLEBORO MA
02760-3670
US

V. Phone/Fax

Practice location:
  • Phone: 508-695-9421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1024038
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: