Individual
JUDE IGBINEWEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 HUNT ST, BROCKTON, MA 02302-2707
(781) 963-0701
(781) 963-0701
Mailing address
58 HUNT ST, BROCKTON, MA 02302-2707
(781) 963-0701
(781) 963-0701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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