Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MA67932 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | MA67932 | NJ |
NPI | 1235177437 |
---|---|
Provider Name | Chukueke Tobenna Okezie |
First Address | Paramus, NJ 07652-2901 |
Second Address | Paramus, NJ 07652-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 08/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7720106 | (05) | NJ |
G83528 | (02) |