Provider Demographics
NPI:1568659662
Name:ANWUNAH-OKOYE, IFEOMA JULIET (MD)
Entity Type:Individual
Prefix:DR
First Name:IFEOMA
Middle Name:JULIET
Last Name:ANWUNAH-OKOYE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3124 HIGHWAY 27
Mailing Address - Street 2:PO BOX 5094
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UMDNJ / UNIVERSITY CORRECTIONAL HC C/O NJDOC
Practice Address - Street 2:COLPITTS MODULAR UNIT, BOX 863 ,WHITTLESEY RD.
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08625
Practice Address - Country:US
Practice Address - Phone:609-341-3093
Practice Address - Fax:609-341-9380
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2023-09-06
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA067433002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG76618Medicare UPIN