Individual
MR. FRED EZEKIEL NEEQUAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7411 RIGGS RD, SUITE 404, HYATTSVILLE, MD 20783-4246
(301) 445-0600
(301) 445-1516
Mailing address
13616 JAMIESON PL, GERMANTOWN, MD 20874-1475
(240) 997-6986
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002742
MD
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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