Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA07434200 | NJ |
Y | 111NI0900X | Internist | 25MA07434200 | NJ |
N | 207RG0300X | Geriatric Medicine | 25MA07434200 | NJ |
NPI | 1144200080 |
---|---|
Provider Name | Dr. Adaora O Okoli-Umeweni |
First Address | Stratford, NJ 08084-1354 |
Second Address | Stratford, NJ 08084-1354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0043231 | (05) | NJ |
I19284 | (02) | NJ |