Provider Demographics
NPI:1215641006
Name:NJOROGEH, MARCUS M
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:M
Last Name:NJOROGEH
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 1:3 COURTHOUSE LN STE 9
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1721
Mailing Address - Country:US
Mailing Address - Phone:978-905-0233
Mailing Address - Fax:
Practice Address - Street 1:3 COURTHOUSE LN STE 9
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1721
Practice Address - Country:US
Practice Address - Phone:978-905-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency