MEDICARE: EDWIN OJO MD, PA

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
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1699009175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWIN OJO MD, PA

Provider Business Mailing Address
First Line	:	11331 JAMES WATT DR # 300A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6401
Country	:	US
Telephone Number	:	915-504-6950
Fax Number	:

Provider Business Practice Location Address
First Line	:	11331 JAMES WATT DR # 300A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6401
Country	:	US
Telephone Number	:	915-504-6950
Fax Number	:	915-600-2712

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWIN OJO
Credential	:	M.D.
Telephone Number	:	915-504-6950

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	03/31/2020

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