Provider Demographics
NPI:1194553784
Name:NJEHIA, BERNARD RUIRU
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:RUIRU
Last Name:NJEHIA
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 1:20 SVEA ST APT 4H
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01607-1171
Mailing Address - Country:US
Mailing Address - Phone:508-762-6083
Mailing Address - Fax:
Practice Address - Street 1:20 SVEA ST APT 4H
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01607-1171
Practice Address - Country:US
Practice Address - Phone:508-762-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor