Doctor Name: | OLHA SOKHAN |
NPI Number: | 1235361320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 202359 |
Business Practice Address: | 210 Fairview Ave Rutherford, NJ - 070701651 |
Business Phone Number: | 2019390920 |
Business Fax Number: | |
Mailing Address: | 210 Fairview Ave, RUTHERFORD |
State: | NJ |
Postal Code: | 070701651 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 08/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 202359 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |