# KOJO SASAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306355755
- **Gender:** Man
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ14906800 | NJ | — |
| 363L00000X | Nurse Practitioner | SP017918 | PA | — |
| 363LG0600X | Gerontology Nurse Practitioner | 26NJ14906800 | NJ | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | SP017918 | PA | — |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103474880 | — | PA |