Cudjoe, Selene B.
Cudjoe, Selene B. is an sole proprietor health care provider with primary practice located at 690 Canton St Suite 325, Westwood MA 02090-2321. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Cudjoe, Selene B. can be contacted via phone (781) 407-7771.Contact Information
Primary practice address
690 Canton St Suite 325
Westwood MA 02090-2321
Phone: (781) 407-7771
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 254702 | Massachusetts |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 254702 | Massachusetts |
Profile Details
NPI number | 1427287192 |
---|---|
LBN Legal business name | Cudjoe, Selene B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2009 |
Last updated | Dec 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427287192 | NPPES |
Massachusetts | MEDICAID | 110100318A |
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