Provider Demographics
NPI:1245329150
Name:OKO, PIOTR W (MD)
Entity type:Individual
Prefix:
First Name:PIOTR
Middle Name:W
Last Name:OKO
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 1:33 CANTERBURY WAY
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-1926
Mailing Address - Country:US
Mailing Address - Phone:973-956-0899
Mailing Address - Fax:973-956-0225
Practice Address - Street 1:1327 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3337
Practice Address - Country:US
Practice Address - Phone:201-963-5633
Practice Address - Fax:201-963-5412
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMAO62444208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6689906Medicaid
NJ6689906Medicaid
NJG19582Medicare UPIN