Provider Demographics
NPI:1437124799
Name:FOLUKE, A KWASI (MD)
Entity Type:Individual
Prefix:DR
First Name:A KWASI
Middle Name:
Last Name:FOLUKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12068
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2068
Mailing Address - Country:US
Mailing Address - Phone:252-514-2261
Mailing Address - Fax:252-514-2261
Practice Address - Street 1:3316 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4110
Practice Address - Country:US
Practice Address - Phone:252-514-2261
Practice Address - Fax:252-514-2261
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04207002084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine