Individual
ELIHU MICHAEL OKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9140 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-2853
(215) 331-6050
(215) 331-6055
Mailing address
9140 ACADEMY RD, SUITE A, PHILADELPHIA, PA 19114-2853
(215) 331-6050
(215) 331-6055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA02335000
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
MD014140E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074891500001
—
PA
01
—
0052390000
KEYSTONE
PA
01
—
037952
BLUE SHIELD
PA
Enumeration date
02/03/2006
Last updated
08/02/2010
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