Basic Information
Provider Information
NPI: 1700081163
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOKIC
FirstName: DRAGANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 530 NEW BRUNSWICK AVE
Address2:  
City: PERTH AMBOY
State: NJ
PostalCode: 088613654
CountryCode: US
TelephoneNumber: 7324423700
FaxNumber:  
Practice Location
Address1: 2 HOSPITAL PLZ
Address2:  
City: OLD BRIDGE
State: NJ
PostalCode: 088573152
CountryCode: US
TelephoneNumber: 7324423700
FaxNumber: 7323604071
Other Information
ProviderEnumerationDate: 06/17/2007
LastUpdateDate: 04/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X45175KYN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101X25MA08866300NJY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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