Omede, Mmeyeneabasi David

Omede, Mmeyeneabasi David is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Omede, Mmeyeneabasi David can be contacted via phone (617) 643-7972.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Phone: (617) 643-7972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 292199 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 292199 Massachusetts

Profile Details

NPI number 1568023828
LBN Legal business name Omede, Mmeyeneabasi David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2022 - 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.

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