Individual
DR. NKEMDILIM OBIORAH EZEIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2212
(610) 595-6000
Mailing address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013-3955
(610) 619-8590
(610) 619-8591
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD450603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD450603
PA MEDICAL LICENSE
PA
Enumeration date
07/15/2011
Last updated
11/13/2014
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