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Individual

MUMUNI T. DAODU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF CRITICAL CARE, WORCESTER, MA 01655-0002
(774) 442-6534
(774) 443-0037
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2299476
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
2299476
MA

Other

Enumeration date
04/23/2015
Last updated
04/21/2020
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