# NAMYAUSA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NAMYAUSA Free Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669136495
- **Authorized official:** CORDELIA N UDDOH MD (CHAIR)
- **Authorized official phone:** (833) 626-9200

## Contact information

- **Practice address:** 608 EASTON RD STE C, WILLOW GROVE, PA 19090-2526
- **Practice address phone:** (833) 626-9200
- **Mailing address:** 608 EASTON RD STE C, WILLOW GROVE, PA 19090-2526
- **Mailing address phone:** (833) 626-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |

## Other

- **Enumeration date:** 10/27/2021
- **Last updated:** 10/27/2021