Provider Demographics
NPI:1902799067
Name:ALEX-OKORO, TOCHI WINIFRED
Entity type:Individual
Prefix:
First Name:TOCHI
Middle Name:WINIFRED
Last Name:ALEX-OKORO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TOCHI
Other - Middle Name:WINIFRED
Other - Last Name:MADU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 LYONS AVENUE AT OSBORNE TERRACE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112
Mailing Address - Country:US
Mailing Address - Phone:973-926-2676
Mailing Address - Fax:
Practice Address - Street 1:201 LYONS AVENUE AT OSBORNE TERRACE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112
Practice Address - Country:US
Practice Address - Phone:973-926-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program