Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 286181 | MA |
N | 207N00000X | Dermatologist | R-10699 | IA |
N | 208D00000X | General Practice Physician | 271034 | NY |
NPI | 1003173832 |
---|---|
Provider Name | Dr. Uchenna Rebecca Okereke |
First Address | Canton, MA 02021-4009 |
Second Address | Canton, MA 02021-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2012 |
Last Update Date | 19/05/2021 |