| Jraphe P.C. | |
|
4 Church St Middleton MA 01949-1758 | |
| (443) 564-0380 | |
| (781) 872-1294 |
| Full Name | Jraphe P.C. |
|---|---|
| Speciality | Hospitalist |
| Location | 4 Church St, Middleton, Massachusetts |
| Authorized Official Name and Position | Chieke O Udom (PRESIDENT) |
| Authorized Official Contact | 4435640380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jraphe P.C. 4 Church St Middleton MA 01949-1758 Ph: (443) 564-0380 | Jraphe P.C. 4 Church St Middleton MA 01949-1758 Ph: (443) 564-0380 |
| NPI Number | 1083072599 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Medicare PECOS PAC ID | 8325346695 |
|---|---|
| Medicare Enrollment ID | O20160420000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083072599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Chieke Udom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023249406 PECOS PAC ID: 9537333216 Enrollment ID: I20111115000020 |
| Provider Name | Mukumbi C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053656884 PECOS PAC ID: 4183878523 Enrollment ID: I20130212000054 |
| Provider Name | Mary Njonjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245400142 PECOS PAC ID: 5890910798 Enrollment ID: I20140709002190 |
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