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Contact Information

JUSTIN C OGBONNA, DPM
732 HARRISON AVENUE
PRESTON 5TH FLOOR
BOSTON, MA02118
 Phone: 617-414-6840
 Fax: 617-414-6710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JUSTIN C OGBONNA · (Male)

NPI # 1952626483
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/27/2010
Last updated 09/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2387
  • MA Medicaid 110093644A
Hospital affiliation(s)
  • BOSTON MEDICAL CENTER CORPORATION - (Acute Care)
    1 BOSTON MEDICAL CENTER PLACE
    BOSTON, MA 02118
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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