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NPI Code Detail

MEDICARE: EMMANUEL ABABIO AGYEMANG MD

MEDICARE: EMMANUEL ABABIO AGYEMANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA13036500NJ

General Provider Information

NPI Number : 1235831975
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL ABABIO AGYEMANG MD
Provider Business Mailing Address
First Line : 201 LYONS AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07112-2027
Country : US
Telephone Number : 973-926-7425
Fax Number :
Provider Business Practice Location Address
First Line : 201 LYONS AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07112-2027
Country : US
Telephone Number : 973-926-7425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 05/11/2026

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