Provider Information for 1508517285
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Ms. HILDA AMA TETTEH-OCLOO
Sex: Female
NPI: 1508517285
Last Updated: 2024-12-11
Certification Date: 2024-12-11
Certification Date: 2024-12-11
Details
Name | Value | ||||||||||||||
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NPI | 1508517285 | ||||||||||||||
Enumeration Date | 2022-01-13 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 123 S BROAD ST STE 1835 PHILADELPHIA, PA 19109-1008 United States Phone: 267-490-0780 | Fax: | ||||||||||||||
Primary Practice Address | 123 S BROAD ST STE 1835 PHILADELPHIA, PA 19109-1008 United States Phone: 267-495-4951 | Fax: | ||||||||||||||
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