Provider Demographics
NPI:1750659736
Name:MUCHIRI, NJOROGE (MED)
Entity Type:Individual
Prefix:
First Name:NJOROGE
Middle Name:
Last Name:MUCHIRI
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BRISTOL EMILIE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-2608
Mailing Address - Country:US
Mailing Address - Phone:215-945-0503
Mailing Address - Fax:
Practice Address - Street 1:250 BRISTOL EMILIE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-2608
Practice Address - Country:US
Practice Address - Phone:215-945-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst