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Individual

JOYCE IMAHIYEROBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
254815
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042297845
UNITED HEALTH CARE
01
1104086107
NEIGHBORHOOD HEALTH PLAN
01
5792931
AETNA
01
5860263
CIGNA
01
9237950
NETWORK HEALTH
01
AA330484
HARVARD PILGRIM
01
J52294
BCBSMA
MA
Enumeration date
06/12/2008
Last updated
01/08/2014
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