Individual
MR. EMMANUEL TETTEH AGBOTTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
85 HIGH ST, MEDFORD, MA 02155-3825
(781) 396-4770
Mailing address
85 HIGH ST, MEDFORD, MA 02155-3825
(781) 396-4770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
282680
MA
Other
Enumeration date
08/28/2013
Last updated
08/21/2025
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