Provider Demographics
NPI:1518581271
Name:UMEOKAFOR, ECHEZONA (MD)
Entity Type:Individual
Prefix:
First Name:ECHEZONA
Middle Name:
Last Name:UMEOKAFOR
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 1:47 QUITMAN ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-4128
Mailing Address - Country:US
Mailing Address - Phone:973-874-6714
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE BLDG DEPT
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:973-874-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program