Individual
DR. OLIVIA I OKEREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, 149-2691, BOSTON, MA 02114-2621
(617) 726-5571
(617) 726-5760
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
212549
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084791
—
MA
Enumeration date
11/07/2005
Last updated
08/09/2012
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