Whalio Doctors

NPI 1184612731

Chima Ohaegbulam, MD PC

Organisation Neurological Surgery Physician Roxbury Crossing, MA

Practice location

Address
125 Parker Hill Ave Converse 5, Roxbury Crossing, MA 02120-2847
Phone
(617) 754-6025
Fax
(617) 754-6026

Authorised official

Name
Chima Ohaegbulam
Title
Owner
Phone
(617) 754-6025

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 160498 (MA)

Registry record

NPI
1184612731
Entity type
Organization
NPI issued
7 Oct 2005
Record last updated
11 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.