Tagoe, Udele Joyce

Tagoe, Udele Joyce is an individual health care provider with primary practice located at 3998 Red Lion Rd Suite 106, Philadelphia PA 19114-1445. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Tagoe, Udele Joyce can be contacted via phone (215) 612-4143.

Contact Information

Primary practice address
3998 Red Lion Rd Suite 106 Philadelphia PA 19114-1445
Phone: (215) 612-4143
Fax: (215) 612-4909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD428204 Pennsylvania

Profile Details

NPI number 1588605232
LBN Legal business name Tagoe, Udele Joyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 19th, 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 1588605232 NPPES
Pennsylvania MEDICAID 1020328930003
Pennsylvania Other 1901845
Pennsylvania Other 2768766000
Pennsylvania Other 30171550
Pennsylvania Other 336613

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