Individual
DR. EBELE OKPOKWASILI-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 TUFTS ST, BOSTON, MA 02129-2711
(617) 238-1100
Mailing address
15 TUFTS ST, BOSTON, MA 02129-2711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
238065
MA
2084P0800X
Psychiatry Physician
L-228161
MA
2084P0804X
Child & Adolescent Psychiatry Physician
238065
MA
Other
Enumeration date
02/27/2007
Last updated
09/15/2021
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