| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GINEEN AFEISHA THERESA CUDJOE | 1992180483 | 2024-01-06 |
Gineen Cudjoe [F] graduated in 2011 and primarily specializes in Hospitalist.
Gineen Afeisha Theresa Cudjoe is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992180483. Registration indicates Gineen Afeisha Theresa Cudjoe is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Hospitalist) (Hospitalist, ) (All Other Specialties & Provider Types, ) (Hospitalist, Allopathic & Osteopathic Physicians)
| PECOS ID | 3072862416 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Gineen Afeisha Theresa Cudjoe M.D. |
| Practice Office Address | 175 W PINE AVE LONGWOOD, FL US |
| Practice Office Telephone | 3212070172 |
| Practice Office Fax | 3212070175 |
| Mailing Address | 43 WHITING HILL RD BREWER, ME 044121005 US |
| Business Telephone | 2079736605 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 489 State Street Kelley 6 | Bangor, ME 04401 | 2079736605 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 208M00000X PRIMARY | Allopathic & Osteopathic Physicians Hospitalist Hospitalist All Other Specialties & Provider Types Hospitalist Allopathic & Osteopathic Physicians | ME160017
FL |
| 118690100 | MEDICAID | FL |