Individual
DR. CHUKWUDI N EZEOKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
256340
MA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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