Individual
CHUCK OGBODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(508) 408-9200
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284675
MA
Other
Enumeration date
03/02/2015
Last updated
08/09/2024
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