Individual
MUYIWA AKIN OKURIBIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
705 RENAISSANCE DR, WILLIAMSTOWN, NJ 08094-6331
(732) 241-8295
(856) 504-0200
Mailing address
705 RENAISSANCE DR, WILLIAMSTOWN, NJ 08094-6331
(732) 241-8295
(856) 504-0200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD002566
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063683258
751 BROADWAY
NJ
01
—
1194996645
444 WILLIAMS ST
NJ
01
—
1235300799
37 N DAY ST
NJ
01
—
1548431091
982 BROAD ST
NJ
01
—
1619148160
516 BERGEN ST
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1932370483
101 LUDLOW ST
NJ
01
—
1972778413
1150 SPRINGFIELD AVE
NJ
Enumeration date
10/26/2005
Last updated
03/17/2016
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