Mumuni Daodu

NPI 1083001408 - Nurse Practitioner - 363LC0200X

NPI Details
NPI 1083001408
Gender Male
Enumeration Date 04/23/2015
Last Updated 06/22/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF CRITICAL CARE
WORCESTER MA, 01655-0002, US
Phone (774) 442-6534
Fax (774) 443-0037
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone
Fax
Toxanomy
Taxonomy Code 363LC0200X
License State Massachusetts
License Number 2299476
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According to our database, Mumuni Daodu NPI is 1083001408, taxonomy code is 363LC0200X and license number is 2299476, license state is located at Massachusetts. Mumuni Daodu physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Mumuni Daodu has the Individual type.

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1083001408 NPI number is provided on an as is basis without warranty of any kind. 1083001408 is maintained by the National Plan & Provider Enumeration System. The contents of Mumuni Daodu are for informational purposes only.