Individual provider · Type 1 NPI

Michelle Ejiofor

Surgical Physician Assistant · Brockton, MA

NPI number 1942586292 Active

Practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

110 Liberty St
Brockton, MA 02301-5674

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA4550 (MA)
Medical Physician Assistant 363AM0700XC0004561 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1942586292

Michelle Ejiofor's National Provider Identifier is 1942586292, issued on Nov 1, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brockton, MA. The record was last updated on Jan 22, 2021.