Individual
ELIZABETH NAMALA BWOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
157 MAIN ST, BROCKTON, MA 02301-4012
(508) 559-6699
(508) 583-4649
Mailing address
231 MAIN ST, SUITE 302, BROCKTON, MA 02301-4342
(508) 559-1567
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
230164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037724
NEIGHBORHOOD HEALTH PLAN
—
01
—
93339
HEALTHY START
—
Enumeration date
05/25/2006
Last updated
07/08/2007
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