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Individual

FERDINAND A OFODILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
109189-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0700512
GHI
NY
01
109189
HIP
NY
01
7918448
AETNA
NY
05
B00214
NY
01
P402322
OXFORD
NY
Enumeration date
08/31/2006
Last updated
07/09/2007
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