Ufondu, Uchenna Rebecca

Ufondu, Uchenna Rebecca is an sole proprietor health care provider with primary practice located at 302 E Brown St Ste A, East Stroudsburg PA 18301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ufondu, Uchenna Rebecca can be contacted via phone (570) 476-4161.

Contact Information

Primary practice address
302 E Brown St Ste A East Stroudsburg PA 18301
Fax: (570) 476-9954
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD062320L Pennsylvania

Profile Details

NPI number 1124090196
LBN Legal business name Ufondu, Uchenna Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Jan 21st, 2011 - about 13 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 1124090196 NPPES
Pennsylvania MEDICAID 0016654970004

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