Ditchfield-Agboh, Russell K.

Ditchfield-Agboh, Russell K. is an sole proprietor health care provider with primary practice located at 141 Walnut St Apt 2 , Montclair NJ 07042-3885. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ditchfield-Agboh, Russell K. can be contacted via phone (201) 888-0444.

Contact Information

Primary practice address
141 Walnut St Apt 2 Montclair NJ 07042-3885
Phone: (201) 888-0444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00938000 New Jersey

Profile Details

NPI number 1487905444
LBN Legal business name Ditchfield-Agboh, Russell K.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2012
Last updated Sep 30th, 2012 - about 14 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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