Most Relevant Information
Provider Data
| NPI Number: | 1003032855 |
| Provider Name: | CHINYERE NGOZI EZE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | C0004111 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 05/08/2012 |
Provider Practice Location
11750 BUSINESS PARK DR
SUITE 103
WALDORF
MD
206012907
Practice Location Phone/Fax
| Phone: | 2404193865 |
| Fax: |
Provider Mailing Location
11750 BUSINESS PARK DR
SUITE 103
WALDORF
MD
206012907
Provider Mailing Phone/Fax
| Phone: | 2404193865 |
| Fax: |