Search › Connecticut › 111N00000X

John Boamah, DC

NPI 1386116440 · on the registry since 2018 · sole proprietor

Practice

Address
1838 Black Rock Tpke Ste 2a
Fairfield, CT 06825
Phone
(718) 791-2382
Organisation at this address
Black Rock Pharmacy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut