Provider Demographics
NPI:1750157426
Name:OSEI KWARTENG, MAYFRED (MBA/MSHA/DNP/PHD)
Entity type:Individual
Prefix:DR
First Name:MAYFRED
Middle Name:
Last Name:OSEI KWARTENG
Suffix:
Gender:F
Credentials:MBA/MSHA/DNP/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 FEDERAL SQ UNIT 28281
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3515
Mailing Address - Country:US
Mailing Address - Phone:973-418-7818
Mailing Address - Fax:
Practice Address - Street 1:2 FEDERAL SQ UNIT 28281
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3515
Practice Address - Country:US
Practice Address - Phone:973-418-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR24689987163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice