Zulfau Agwedicham, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
1497217087- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-442-5615
- Fax
- —
- Last updated
- March 28, 2023
Zulfau Agwedicham is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Zulfau Agwedicham practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Zulfau Agwedicham is 1497217087. The current practice location address for Zulfau Agwedicham is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-5615.
Provider Profile Details
- NPI Number
- 1497217087
- Provider Name
- Zulfau Agwedicham
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 774-442-5615
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 2, 2019
- Last Update Date
- March 28, 2023
- Certification Date
- March 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-442-5615
Provider Business Mailing Address Details
- Address
- 139 Ward St
Orange, NJ 07050-4039 - City
- Orange
- State
- NJ
- Zip
- 07050-4039
- Phone Number
- 973-641-3290
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Zulfau Agwedicham, MD?
The NPI number of Zulfau Agwedicham, MD is 1497217087. It was assigned on April 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Zulfau Agwedicham, MD?
Zulfau Agwedicham, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Zulfau Agwedicham, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-5615 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497217087 directly on the NPPES registry website.