Individual
LAURA UWAKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(917) 388-0396
Mailing address
2101 CHESTNUT ST APT 2U, PHILADELPHIA, PA 19103-3108
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2018-00253
NC
208D00000X
General Practice Physician
298161
NY
Other
Enumeration date
07/08/2014
Last updated
06/21/2019
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