Individual
LIVINUS OKAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
6400 ATLANTIC BLVD, JACKSONVILLE, FL 32211-8768
(904) 805-1300
(904) 805-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010043749CT02
BCBSCT #
CT
01
—
043749
WORK COMP
CT
Enumeration date
07/22/2006
Last updated
03/07/2023
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