Individual
CHUKWUDI E. OGBOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 BRUSHY MOUNTAIN RD, EAST STROUDSBURG, PA 18301-9349
(610) 533-3457
(570) 805-2218
Mailing address
704 BRUSHY MOUNTAIN RD, EAST STROUDSBURG, PA 18301-9349
(610) 533-3457
(570) 805-2218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD421052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019475840005
—
PA
Enumeration date
03/24/2006
Last updated
03/03/2017
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