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EHIMEN JUDE OKPOLOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58954
KY
208M00000X
Hospitalist Physician
Primary
01088777A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100911670
KY
Enumeration date
03/26/2020
Last updated
10/29/2025
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