# EROMOSELE STEVEN OKHUEBOR

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

## Provider details

- **NPI number:** 1356729768
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 3318 | CT | — |
| 363A00000X | Physician Assistant | PA5568 | MA | Yes |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 03/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110126024A | — | MA |
| 01 | — | PA5568 | PA LICENSE | MA |