Individual
DR. OKIKE NSIDINANYA OKIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF CARDIOTHORACIC SURGERY, WORCESTER, MA 01655-0002
(508) 856-3962
(508) 334-7240
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100463
—
MA
Enumeration date
12/01/2005
Last updated
04/18/2009
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