Provider Demographics
NPI:1962140293
Name:OWUSU, PATRICK AFRIYIE (PO)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:AFRIYIE
Last Name:OWUSU
Suffix:
Gender:M
Credentials:PO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 BEAVER ST APT 9
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2737
Mailing Address - Country:US
Mailing Address - Phone:774-232-0990
Mailing Address - Fax:
Practice Address - Street 1:74 BEAVER ST APT 9
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2737
Practice Address - Country:US
Practice Address - Phone:774-232-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care