Individual
OBIOMA IRO-NWOKEUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D..
Contact information
Practice address
6613 CHEW AVE, PHILADELPHIA, PA 19119-2002
(215) 848-1166
(215) 842-0224
Mailing address
6613 CHEW AVE, PHILADELPHIA, PA 19119-2002
(215) 848-1166
(215) 842-0224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD063864L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD063864L
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD063864L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017587000011
—
PA
Enumeration date
02/09/2006
Last updated
06/10/2008
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