Most Relevant Information
Provider Data
| NPI Number: | 1003497504 |
| Provider Name: | MURIELLE AHAWO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2021 |
| Last Updated: | 04/16/2021 |
Provider Practice Location
225 WILLIAMSON ST
ELIZABETH
NJ
072023625
Practice Location Phone/Fax
| Phone: | 9089947552 |
| Fax: |
Provider Mailing Location
6317 HARRIS HEIGHTS AVE
GLEN BURNIE
MD
210618801
Provider Mailing Phone/Fax
| Phone: | 4439628318 |
| Fax: |