Individual
THEOPHILUS AZUBUIKE UNAEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
465 NORTH ST, RANDOLPH, MA 02368-4126
(781) 963-1067
Mailing address
465 NORTH ST, RANDOLPH, MA 02368-4126
(781) 963-1067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
206000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700851
—
MA
Enumeration date
04/20/2007
Last updated
07/08/2007
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