IndividualActive
Augustine Agyekum
NPI 1679271670 · Point of Service · Gladwyne, PA
Provider details
- NPI number
- 1679271670
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
1815 Blackberry Ln
Gladwyne, PA 19035-1101
Phone: (877) 225-0316
Approximate (ZIP-level) locationGet directions
Mailing address
932 7th St Apt 4
Santa Monica, CA 90403-2735
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
- Certified
- 2023-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.