Individual
ABENA O OFORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 726-2914
Mailing address
50 STANIFORD ST STE 200, BOSTON, MA 02114-2543
(617) 726-2914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01085936A
IN
207N00000X
Dermatology Physician
074335
GA
207N00000X
Dermatology Physician
Primary
238800
MA
207N00000X
Dermatology Physician
35088850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716770
—
OH
Enumeration date
02/15/2007
Last updated
11/29/2023
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