Individual
EBENEZER BOAHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 MARSHALL ST APT 4H, IRVINGTON, NJ 07111-8604
(862) 300-8965
Mailing address
16 MARSHALL ST APT 4H, IRVINGTON, NJ 07111-8604
(862) 300-8965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
744665
NY
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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