Provider Demographics
NPI:1629634282
Name:ACQUAH, DENNIS K
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:K
Last Name:ACQUAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 OLD YORK RD LBBY 212
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3724
Mailing Address - Country:US
Mailing Address - Phone:215-330-4445
Mailing Address - Fax:215-330-4447
Practice Address - Street 1:261 OLD YORK RD LBBY 212
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3724
Practice Address - Country:US
Practice Address - Phone:215-330-4445
Practice Address - Fax:215-330-4447
Is Sole Proprietor?:No
Enumeration Date:2019-05-19
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator