Individual
DONNA C UGBOAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, AUSTEN 880, BOSTON, MA 02114-2696
(617) 726-7621
Mailing address
55 FRUIT ST, AUSTEN 880, BOSTON, MA 02114-2696
(617) 726-7621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291123
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
291123
MA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
291123
MA
Other
Enumeration date
04/16/2019
Last updated
11/30/2023
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