Individual
CHIAMAKA I OKECHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003241
CT
363AM0700X
Medical Physician Assistant
003241
CT
363AM0700X
Medical Physician Assistant
Primary
PA3707
MA
363AS0400X
Surgical Physician Assistant
003241
CT
Other
Enumeration date
01/12/2009
Last updated
08/08/2019
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