Individual
BOGONKO ACHENCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 FOX HALL, DOVER, DE 19904-2620
(302) 359-8795
Mailing address
11 FOX HALL, DOVER, DE 19904-2620
(302) 359-8795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LG-0011734
DE
363LF0000X
Family Nurse Practitioner
LG-0011734
DE
Other
Enumeration date
12/04/2021
Last updated
11/28/2023
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