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NPI Code Detail

MEDICARE: DR. OGHOS NOSA PHARMD

MEDICARE:  DR. OGHOS  NOSA  PHARMD
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
11835P1300XPsychiatric PharmacistRP454587PA

General Provider Information

NPI Number : 1508511890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OGHOS NOSA PHARMD
Provider Business Mailing Address
First Line : 3609 N BROAD ST STE P
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4107
Country : US
Telephone Number : 267-546-5035
Fax Number :
Provider Business Practice Location Address
First Line : 3609 N BROAD ST STE P
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4107
Country : US
Telephone Number : 267-546-5035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 02/16/2022

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Directions to “ DR. OGHOS NOSA PHARMD” Practice Location

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