Individual ProviderNana AmpomahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Boston, MA 02111-1527(617) 636-6828PECOS EnrollmentBased on the most recent information from CMS, provider Nana Ampomah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053161166Provider TypeIndividualFull NameAmpomah, NanaCredentialDENTAL STUDENT (DMD)GenderMaleSole ProprietorNoEnumeration Date3/25/2024Last Updated3/25/2024Contact InformationPractice LocationPractice Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxMailing LocationMailing Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer