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Individual

DR. EMA UKO-ABASI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
171 DWIGHT RD STE 102, LONGMEADOW, MA 01106-1768
(413) 824-4070
Mailing address
171 DWIGHT RD STE 102, LONGMEADOW, MA 01106-1768
(413) 824-4070

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23783
TN
363LF0000X
Family Nurse Practitioner
Primary
RN2358169
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23783
STATE LICENSE NUMBER
TN
01
C-APN.0001216-C-NP
STATE LICENSE NUMBER
CO
01
RN2358169
STATE LICENSE
MA
Enumeration date
02/05/2018
Last updated
02/23/2023
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