1801392360 NPI number — DR. PIUS AMOATENG OSEI-BAGYINA MD, MPH

Table of content: DR. PIUS AMOATENG OSEI-BAGYINA MD, MPH (NPI 1801392360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801392360 NPI number — DR. PIUS AMOATENG OSEI-BAGYINA MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSEI-BAGYINA
Provider First Name:
PIUS
Provider Middle Name:
AMOATENG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801392360
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 PINEWOOD STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORONO
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04473
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-251-7967
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43 WHITING HILL RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREWER
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-973-5000
Provider Business Practice Location Address Fax Number:
207-973-5042
Provider Enumeration Date:
04/03/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X , with the licence number:  MD24550 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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