Provider Demographics
NPI:1447945365
Name:JONAH, UGOCHUKWU JOHN (MB;BS)
Entity type:Individual
Prefix:MR
First Name:UGOCHUKWU
Middle Name:JOHN
Last Name:JONAH
Suffix:
Gender:M
Credentials:MB;BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:670 ALBANY STREET DEPARTMENT OF PATHOLOGY & LABORATORY
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-414-5314
Mailing Address - Fax:617-414-5315
Practice Address - Street 1:670 ALBANY STREET DEPARTMENT OF PATHOLOGY & LABORATORY
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-5314
Practice Address - Fax:617-414-5315
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program