Provider Demographics
NPI:1861651093
Name:POKUAH, MARIAN OSEI (MD)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:OSEI
Last Name:POKUAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 CRYSTAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8706
Mailing Address - Country:US
Mailing Address - Phone:917-439-7153
Mailing Address - Fax:
Practice Address - Street 1:2200 PHILADELPHIA DR STE 441
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1832
Practice Address - Country:US
Practice Address - Phone:937-734-4690
Practice Address - Fax:937-734-4186
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08959000208M00000X, 207R00000X
PAMD446243207R00000X
NC2019-01953207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine