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Individual
DR. PAUL EDOSA AIFESEHI
Active
Individual
DR. PAUL EDOSA AIFESEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
LT000792
PA
390200000X
Student in an Organized Health Care Education/Training Program
P00296
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033559050001
—
PA
Enumeration date
12/05/2015
Last updated
03/22/2021
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