Individual
OSAGIATE PRUDENCE EHI-ADOGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
(508) 334-6063
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(978) 942-9478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100328
MA
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA100328
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110211197A
—
MA
Enumeration date
01/25/2024
Last updated
07/15/2026
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