Healthcare Provider Details

I. General information

NPI: 1982317806
Provider Name (Legal Business Name): MRS. MARGARET ONONGWA OGBUJI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 MAYFIELD RD STE 110A
SOUTH EUCLID OH
44121-3601
US

IV. Provider business mailing address

2736 GREEN RD
SHAKER HEIGHTS OH
44122-2138
US

V. Phone/Fax

Practice location:
  • Phone: 416-475-9500
  • Fax:
Mailing address:
  • Phone: 216-410-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.232045
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: