Individual
PRINCE UCHENNA ADOTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5313
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
297731
NY
207N00000X
Dermatology Physician
32346
OK
207R00000X
Internal Medicine Physician
BP10052879/591971
TX
390200000X
Student in an Organized Health Care Education/Training Program
297731
NY
Other
Enumeration date
04/21/2015
Last updated
02/05/2021
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