Individual
CHIEDZA G JOKONYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31 COLCORD STREET, SOUTH BERWICK, ME 03908-1004
(207) 384-4949
(207) 384-5700
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(207) 384-4949
(207) 384-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15304
NH
207Q00000X
Family Medicine Physician
Primary
MD17316
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043314313
—
ME
05
—
3074511
—
NH
01
—
P01127059
RR MEDICARE
ME
Enumeration date
09/08/2006
Last updated
04/24/2014
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