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Individual

KOFI D SEFA BOAKYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 PROSPECT PL, SUITE 210, CORONADO, CA 92118-1978
(619) 435-0041
(619) 435-1206
Mailing address
344 EAST H STREET, STE 1402, CHULA VISTA, CA 91910
(619) 422-2121
(619) 422-2427

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G59670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC11992H
MEDI CAL
Enumeration date
10/06/2006
Last updated
04/25/2013
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