Individual
DR. MIROSLAV DJOKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 BROADWAY, SUITE 204, AMITYVILLE, NY 11701-2780
(631) 598-5864
(631) 598-5866
Mailing address
221 BROADWAY, SUITE 204, AMITYVILLE, NY 11701-2780
(631) 598-5864
(631) 598-5866
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A87463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A874630
—
CA
Enumeration date
07/04/2006
Last updated
04/01/2008
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