Individual
IFECHUKWUDE IKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0055
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
294066
MA
207Q00000X
Family Medicine Physician
D98414
MD
Other
Enumeration date
03/22/2019
Last updated
09/20/2023
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