Organization
NWACHUKWU MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKENNA NWACHUKWU M.D. (PRESIDENT)
(301) 367-0918
Entity
Organization
Contact information
Practice address
1411 MADISON PARK DR, SUITE 1B, GLEN BURNIE, MD 21061-6185
(410) 553-6360
(410) 553-6661
Mailing address
1411 MADISON PARK DR, SUITE 1B, GLEN BURNIE, MD 21061-6185
(410) 553-6360
(410) 553-6661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0066985
MD
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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