Provider Demographics
NPI:1609810472
Name:OSEI-WUSU, ABENA AFRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ABENA
Middle Name:AFRA
Last Name:OSEI-WUSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BERRY RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2768
Mailing Address - Country:US
Mailing Address - Phone:724-222-1125
Mailing Address - Fax:
Practice Address - Street 1:50 BERRY RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2768
Practice Address - Country:US
Practice Address - Phone:724-222-1125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD64484207R00000X
PAMD447545207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410711000Medicaid
MD88633401OtherBLUECROSS/BLUESHIELD
MD410711000Medicaid
MD88633401OtherBLUECROSS/BLUESHIELD