Ogbonna, Justin C.

Ogbonna, Justin C. is an individual health care provider with primary practice located at 732 Harrison Avenue Preston 5Th Floor, Boston MA 02118. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Ogbonna, Justin C. can be contacted via phone (617) 414-6840.

Contact Information

Primary practice address
732 Harrison Avenue Preston 5Th Floor Boston MA 02118
Phone: (617) 414-6840
Fax: (617) 414-6710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2387 Massachusetts

Profile Details

NPI number 1952626483
LBN Legal business name Ogbonna, Justin C.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2010
Last updated Sep 21st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952626483 NPPES
Massachusetts MEDICAID 110093644A

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