IndividualActive
Chukwueloka Obionwu, MD, CAQSM
NPI 1679929715 · Sports Medicine (Family Medicine) Physician · Medford, MA
Provider details
- NPI number
- 1679929715
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, CAQSM
- Sex
- Male
- Sole proprietor
- No
- License
- 283078 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Cabot Rd Fl 2
Medford, MA 02155-5117
Phone: (617) 665-1566
Fax: (617) 591-4690
Approximate (ZIP-level) locationGet directions
Mailing address
1 Cabot Rd Fl 2
Medford, MA 02155-5117
Additional practice locations (1)
- 77 Massachusetts AvenueBuilding E23Cambridge, MA 02139-4307Phone: (617) 253-4481Fax: (617) 258-0884
Registry dates
- Enumerated
- 2016-05-08
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.