Individual
PROMISE UCHEGBULAM IGBOKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICIAN
Contact information
Practice address
10 PLEASANT HILL AVE, MATTAPAN, MA 02126-2814
(617) 296-7846
(617) 296-7846
Mailing address
10 PLEASANT HILL AVE, MATTAPAN, MA 02126-2814
(617) 296-7846
(617) 296-7846
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346486529
PRIORITY PROFESSIONAL CARE
MA
Enumeration date
08/04/2011
Last updated
08/04/2011
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