Healthcare Provider Details

I. General information

NPI: 1528234481
Provider Name (Legal Business Name): MERCY ADAOBI UDOJI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 YORK AVENUE, 10TH FLOOR DIVISION OF PAIN MGMT WEILL-CORNELL MEDICAL COLLEGE, PAIN MANAGEMENT
NEW YORK NY
10065
US

IV. Provider business mailing address

1305 YORK AVENUE, 10TH FLOOR DIVISION OF PAIN MGMT WEILL-CORNELL MEDICAL COLLEGE, PAIN MANAGEMENT
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2785
  • Fax: 212-746-8563
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number142122
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: