Provider Demographics
NPI:1871456889
Name:TAWIAH-ABOAGYE, EBENEZER KWAKU (BSN RN-BC)
Entity type:Individual
Prefix:MR
First Name:EBENEZER
Middle Name:KWAKU
Last Name:TAWIAH-ABOAGYE
Suffix:
Gender:M
Credentials:BSN RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 HUNTINGDON DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3592
Mailing Address - Country:US
Mailing Address - Phone:201-899-8821
Mailing Address - Fax:
Practice Address - Street 1:1036 HUNTINGDON DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3592
Practice Address - Country:US
Practice Address - Phone:201-899-8821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)