Basic Information
Provider Information
NPI: 1740278480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEXLER
FirstName: NGOZI
MiddleName: U
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4225 ALTAMONT PL
Address2:  
City: WHITE PLAINS
State: MD
PostalCode: 206953063
CountryCode: US
TelephoneNumber: 3018709900
FaxNumber: 3018706458
Practice Location
Address1: 4225 ALTAMONT PL
Address2:  
City: WHITE PLAINS
State: MD
PostalCode: 206953063
CountryCode: US
TelephoneNumber: 3018709900
FaxNumber: 3018706458
Other Information
ProviderEnumerationDate: 10/06/2005
LastUpdateDate: 12/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD034926DCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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