Provider Demographics
NPI:1891976726
Name:OSEI, JAMES KOFI (IDC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KOFI
Last Name:OSEI
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7242 OAKMONT DR
Mailing Address - Street 2:APT C3
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-1051
Mailing Address - Country:US
Mailing Address - Phone:571-224-7768
Mailing Address - Fax:
Practice Address - Street 1:2600 TARAWA CT
Practice Address - Street 2:BLDG 1602, PC CREW BRAVO
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23521-3235
Practice Address - Country:US
Practice Address - Phone:757-462-5533
Practice Address - Fax:757-462-2543
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman