Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 25MA08872700 | NJ |
NPI | 1053436808 |
---|---|
Provider Name | Dr. Levi Olatokunbo Sokol |
First Address | East Brunswick, NJ 08816-5426 |
Second Address | East Brunswick, NJ 08816-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 02/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0265276 | (05) | NJ |
03338263 | (05) | NY |