Individual
CHINEDU OBIEFULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 LIBERTY RD, ELDERSBURG, MD 21784-7927
(443) 761-9504
Mailing address
955 RICHMOND RD, EAST MEADOW, NY 11554-4545
(443) 761-9504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2019
Last updated
10/13/2022
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