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Individual

KORYSE SADARI WOODROOFFE EKOUEVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5376
(610) 431-5527
Mailing address
100 E PENN SQ, FL 9, PHILADELPHIA, PA 19107-3377
(917) 554-3816

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.099223
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
35.099223
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD459928
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0078190
OH
Enumeration date
04/23/2009
Last updated
04/02/2019
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