Individual
EWAEN OSAMUYI OKAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
13 N HARTFORD AVE, ATLANTICARE BEHAVIORAL HEALTH, ATLANTIC CITY, NJ 08401-3512
(609) 348-1161
Mailing address
661 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4183
(732) 345-3400
(732) 345-3104
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25MA09235300
NJ
2084P0800X
Psychiatry Physician
Primary
25MA09235300
NJ
2084P0800X
Psychiatry Physician
MD442395
PA
Other
Enumeration date
04/11/2011
Last updated
08/14/2019
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