Robert Adu-Boahene
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Worcester, MA
NPI 1386084697 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1386084697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 81 Plantation St
Worcester, MA 01604-3069 - Phone
- (508) 770-0511
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | Yes |
Addresses
Primary practice location
81 Plantation St
Worcester, MA 01604-3069
Mailing address
172 Lincoln St
Worcester, MA 01605-3750
Phone (508) 770-0511
NPI Registry JSON
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1386084697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053750",
"telephone_number": "508-770-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043069",
"telephone_number": "508-770-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADU-BOAHENE",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Demetri Adrahtas
- Adsar Home Health Care LLC
- Adsar Home Health Care Services Inc
- Ellaine Adu Ntoso
- William Adu-Boahen
- Edward O Adu-Gyamfi
- Stella R. Adu-Gyamfi
- Plaxidis Adu-Poku
- Akosua Adu
- Esther Adu
All providers in Worcester, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.