Individual
CHIDIEBUBE JEREMIAH UGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-8520
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-8520
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT230516
PA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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