Organization
CENTRAL MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON OKOYA M.D. (PRESIDENT)
(732) 248-7700
Entity
Organization
Contact information
Practice address
576 CENTRAL AVE, STE LL 8, EAST ORANGE, NJ 07018-1951
(732) 248-7700
(732) 377-8624
Mailing address
576 CENTRAL AVE, STE LL 8, EAST ORANGE, NJ 07018-1951
(732) 248-7700
(732) 377-8624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05218100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3822109
—
NJ
Enumeration date
09/08/2008
Last updated
09/08/2008
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