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Individual

MR. SOLOMON CHIMAOBIM NWACHUKWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
10 LEWIS ST, SUITE 2, MEDFORD, MA 02155-2629
(781) 475-7864
Mailing address
10 LEWIS ST REAR SUITE, MEDFORD, MA 02155-2629
(781) 930-9300

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R156749
MD
163WG0000X
General Practice Registered Nurse
Primary
217716
MA

Other

Enumeration date
05/04/2011
Last updated
08/07/2023
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