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Individual

CHUKWUKA HENRY BOSAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 225-8000
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 225-8000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04762
MD

Other

Enumeration date
07/20/2012
Last updated
08/28/2012
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