Provider Demographics
NPI:1902059025
Name:ESSANDOH, LOUISA EFUA (MD)
Entity Type:Individual
Prefix:
First Name:LOUISA
Middle Name:EFUA
Last Name:ESSANDOH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOUISA
Other - Middle Name:EFUA
Other - Last Name:ATAKORA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3 LINCOLN HWY STE 315
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3963
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 LINCOLN HWY STE 315
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3963
Practice Address - Country:US
Practice Address - Phone:732-738-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08725600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology