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Individual

DR. BENJAMIN U NWOSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ENDOCRINOLOGY, WORCESTER, MA 01655-0002
(774) 441-8081
(774) 441-8055
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
219165
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110034878A
MA
01
A3607702
MEDICARE
MA
Enumeration date
11/20/2005
Last updated
11/10/2020
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