Individual
OKSANA YEVDOKIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 ROUTE 31 SOUTH, WASHINGTON, NJ 07882-4327
(908) 689-0777
(908) 835-3037
Mailing address
PO BOX 27957, SALT LAKE CITY, UT 84127-0957
(908) 689-0777
(908) 835-3036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA8408900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179949
—
NJ
Enumeration date
02/09/2007
Last updated
09/10/2015
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