| Doctor Name: | MRS. CHINYERE NGOZI EZE |
| NPI Number: | 1003032855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA030649 |
| Business Practice Address: | 11750 Business Park Dr Suite 103 Waldorf, MD - 206012907 |
| Business Phone Number: | 2404193865 |
| Business Fax Number: | |
| Mailing Address: | 11750 Business Park Dr, Suite 103 WALDORF |
| State: | MD |
| Postal Code: | 206012907 |
| Phone Number: | 2404193865 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA030649 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |