Individual
EVELINA OKOUNEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5491
(908) 301-5408
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5491
(908) 301-5408
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MB08552600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230031
—
NJ
Enumeration date
03/25/2009
Last updated
08/04/2010
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