Individual
JACKSON A OKOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 UNION AVE, SUITE 204, IRVINGTON, NJ 07111-3277
(973) 416-6981
(973) 375-5766
Mailing address
1 ASTOR PL, AVENEL, NJ 07001-1460
(973) 416-6981
(973) 375-5766
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA52181
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3822109
—
NJ
Enumeration date
09/28/2006
Last updated
07/08/2007
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