Michelle Ejiofor Valid NPI
Individual provider · Surgical Physician Assistant · Brockton, MA
- NPI
- 1942586292
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- License number
- PA4550 (MA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-11-01
- Last updated
- 2021-01-22
Practice location
680 Centre St
Brockton, MA 02302-3308
(717) 222-8138