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Individual

DR. EMMANUEL K. OHEMENG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5922 N BROAD ST FL 1, PHILADELPHIA, PA 19141-1802
(215) 224-7778
Mailing address
6 ASBURY AVE, MELROSE PARK, PA 19027-2918

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC 003524 L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0124221101
PA
01
0508116000
INDEPENDENCE BCBS
PA
Enumeration date
09/22/2006
Last updated
07/08/2007
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