Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA11135800 | NJ |
N | 207X00000X | Orthopaedic Surgeon | S1880 | TX |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA11135800 | NJ |
NPI | 1184972366 |
---|---|
Provider Name | Mr. Richard Chima Okafor |
First Address | Boston, MA 02241-6457 |
Second Address | Wayne, NJ 07470-3235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2012 |
Last Update Date | 07/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400503501 | (05) | TX |