Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KWAMI DELALI AGBODZA, MD
Active Sole ProprietorDR. KWAMI DELALI AGBODZA, MD is a Preventive Medicine healthcare provider located in JACKSON, New Jersey. NPI 1831190172 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · JACKSON, NJ
Registration Details
- NPI Number
- 1831190172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (21.036101000148 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
9500799 (NC)20436001 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 WESTLAKE CTJACKSON, NJ, 085275160Browse NJ providers · Browse ZIP 08527
- Phone
- 7329616453
- Fax
- 7329616453
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.