person
Michelle Ejiofor
Medical Physician Assistant in Brockton, Massachusetts
NPI 1942586292

Michelle Ejiofor is a Medical Physician Assistant based in Brockton, MA and is specialized in Medical. Michelle Ejiofor practices in Brockton, MA. The NPI Number for Michelle Ejiofor is 1942586292 and holds a License No. PA4550 (Massachusetts).

The current practice location address for Michelle Ejiofor is 680 Centre St, Brockton, MA and can be reached out via phone at 717-222-8138.

Location: 680 Centre St, Brockton, MA, 02301-5674
person
Provider Profile Details
NPI Number
1942586292
Provider Name
Michelle Ejiofor
Credential
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA, 02301-5674
Phone Number
717-222-8138
Fax Number
Provider Enumeration Date
11/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
680 Centre St
City
State
Zip
02302-3308
Phone Number
717-222-8138
Fax Number
person
Provider Business Mailing Address Details
Address
680 Centre St
City
State
Zip
02302-3308
Phone Number
717-222-8138
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0004561 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA4550 (Massachusetts)
Definition
Definition to come...
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