Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 81497 | MA |
NPI | 1003874769 |
---|---|
Provider Name | Enoch O Darko |
First Address | Ludlow, MA 01056-0789 |
Second Address | Northampton, MA 01061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 12/03/2010 |