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NPI Code Detail

MEDICARE: EGHOSA ROSEMARY IDUMWONYI MD

MEDICARE: EGHOSA ROSEMARY IDUMWONYI 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
1208M00000XHospitalist Physician279081MA
2207R00000XInternal Medicine Physician279081MA

General Provider Information

NPI Number : 1265894919
Entity Type Code : Individual
Provider Name (Legal Business Name) : EGHOSA ROSEMARY IDUMWONYI MD
Provider Business Mailing Address
First Line : 18 W TREMLETT ST APT 2
Second Line :
City : DORCHESTER
State : MA
Zip : 02124-2065
Country : US
Telephone Number : 617-602-6451
Fax Number :
Provider Business Practice Location Address
First Line : 800 WASHINGTON ST
Second Line :
City : NORWOOD
State : MA
Zip : 02062-3487
Country : US
Telephone Number : 781-769-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 02/17/2026

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Directions to “ EGHOSA ROSEMARY IDUMWONYI MD” Practice Location

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