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Individual

ONYINYECHUKWU BASILIA NWANKWO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1705 WARREN AVE STE 101-103, WILLIAMSPORT, PA 17701-2647
(570) 321-2020
(570) 320-7576
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD473411
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
530196961
HOWARD UNIVERSITY
DC
Enumeration date
06/18/2012
Last updated
04/12/2021
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