| NPI | 1205320934 |
|---|---|
| Former Legal Business Name | WILLIAM O BOAH MD LLP |
| Entity Type | Organization |
| Authorized Contact | AKUA BOAH Md/Administrator 718-282-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2018-06-16 |