Organization
CHIMA OHAEGBULAM, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMA OHAEGBULAM M.D. (OWNER)
(617) 754-6025
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, CONVERSE 5, ROXBURY CROSSING, MA 02120-2847
(617) 754-6025
(617) 754-6026
Mailing address
125 PARKER HILL AVE, CONVERSE 5, ROXBURY CROSSING, MA 02120-2847
(617) 754-6025
(617) 754-6026
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
160498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494197
TUFTS
MA
05
—
9737171
—
MA
01
—
AA43609
HPHC
MA
Enumeration date
10/07/2005
Last updated
12/11/2014
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