Individual
OSAHON AGUEBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.(R)(MR)(ARRT)
Contact information
Practice address
3412 BLUESTONE LN, EAST STROUDSBURG, PA 18301-8116
(201) 952-6420
Mailing address
3412 BLUESTONE LN, EAST STROUDSBURG, PA 18301-8116
(201) 952-6420
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
363102
NY
247100000X
Radiologic Technologist
Primary
641056
NJ
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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