Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Ejiofor

Individual provider Surgical Physician Assistant · NPI 1942586292

Michelle Ejiofor is a Surgical Physician Assistant in Brockton, Massachusetts. Licensed in Massachusetts and Maryland. Registered with an NPI since 2011.

Licensed in
MA, MD
In the registry since
2011
Specialties on file
2

Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (717) 222-8138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA4550 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0004561 (MD)

Record details

NPI number1942586292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2011
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing address110 Liberty St, Brockton, MA 02301-5674

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