Individual provider · Type 1 NPI

Ezra Acholonu, PA

Medical Physician Assistant · Springfield, MA

NPI number 1407221302 Active

Practice location

759 Chestnut St
Springfield, MA 01199-1001

Mailing address

215 N Main St
White River Junction, VT 05009-0001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA5539 (MA)
Medical Physician Assistant Primary 363AM0700XPA5539 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1407221302

Ezra Acholonu, PA's National Provider Identifier is 1407221302, issued on Dec 3, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Sep 18, 2020.