Provider / Organization | NPI | Date Certified |
---|---|---|
BERTRAND NKAFU ANDUKWA EBUNJI | 1629721667 | 2024-03-10 |
Bertrand Nkafu Andukwa Ebunji is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629721667. Registration indicates Bertrand Nkafu Andukwa Ebunji is a provider of services with a specialization in Other Service Providers, Military Health Care Provider (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers)
Entity Type | Individual |
Provider Name | Dr. Bertrand Nkafu Andukwa Ebunji MD |
Practice Office Address | 47149 BUSE RD BLDG 1370 PATUXENT RIVER, MD US |
Practice Office Telephone | 3013420029 |
Practice Office Fax | 3013424054 |
Mailing Address | 47149 BUSE RD BLDG 1370 PATUXENT RIVER, MD 206701540 US |
Code | Practice | License No State |
---|---|---|
171000000X PRIMARY | Other Service Providers Military Health Care Provider Military Health Care Provider Military Health Care Provider Other Service Providers |