Adade-Boafo, Kofi

Adade-Boafo, Kofi is an individual health care provider with primary practice located at 2150 N Waterman Ave Ste 200, San Bernardino CA 92404-4811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adade-Boafo, Kofi can be contacted via phone (909) 887-7951.

Contact Information

Primary practice address
2150 N Waterman Ave Ste 200 San Bernardino CA 92404-4811
Phone: (909) 887-7951
Fax: (909) 883-1634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A77940 California

Profile Details

NPI number 1003898792
LBN Legal business name Adade-Boafo, Kofi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003898792 NPPES
California Other A77940 MD LICENSE

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