Provider Demographics
NPI:1043604283
Name:AGYEMANG, AMMA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AMMA
Middle Name:
Last Name:AGYEMANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LADYSHIRE LN
Mailing Address - Street 2:A302
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6628
Mailing Address - Country:US
Mailing Address - Phone:617-869-6274
Mailing Address - Fax:
Practice Address - Street 1:85 E CONCORD ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2335
Practice Address - Country:US
Practice Address - Phone:617-414-5166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program