Individual
CHIOMA UGBAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,MPH,CRNP, PMHNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(240) 604-1606
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(240) 604-1606
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
R182650
MD
Other
Enumeration date
02/05/2019
Last updated
11/11/2023
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