Individual
MR. GAD KIMAMA NJOROGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
81 BEAULIEU ST, LOWELL, MA 01850-1805
(978) 835-1087
Mailing address
81 BEAULIEU ST, LOWELL, MA 01850-1805
(978) 835-1087
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S48990770
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985962994
BLUECROSS BLUESHIELD
MA
Enumeration date
07/19/2016
Last updated
07/19/2016
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