Individual
DR. IFEANYI AZUBUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(201) 515-0635
Mailing address
1235 PINE STREET, PHILADELPHIA, PA 19107
(201) 515-0635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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