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Individual

ELIHU MICHAEL OKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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