Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT205716 | PA |
Y | 2080P0205X | Pediatric Endocrinologist | 290072 | MA |
N | 2080P0205X | Pediatric Endocrinologist | MT205716 | PA |
NPI | 1518370881 |
---|---|
Provider Name | Dr. Sando Ojukwu |
First Address | Boston, MA 02215-5394 |
Second Address | Boston, MA 02215-5394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 20/07/2021 |