Provider Demographics
NPI:1316387376
Name:KOKKOLA-KORPELA, MARJUT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARJUT
Middle Name:
Last Name:KOKKOLA-KORPELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARJUT
Other - Middle Name:
Other - Last Name:KOKKOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-0273
Mailing Address - Country:US
Mailing Address - Phone:973-535-8355
Mailing Address - Fax:
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-535-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD448425207RI0200X
NJ25MA09329500207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease